Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.15 / $4,396.00 / $10,300.00	Facility		$1,000.15	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $868.60 / $1,000.15 / $5,251.41	Professional		$868.60	$1,000.15	$5,251.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,452.00 / $5,379.00 / $15,156.78	Facility		$4,452.00	$5,379.00	$15,156.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,121.95 / $1,393.67 / $1,738.37	Professional		$1,121.95	$1,393.67	$1,738.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.29 / $1,291.00 / $1,875.00	Professional		$831.29	$1,291.00	$1,875.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $23.60 / $1,028.19 / $1,499.59	Professional		$23.60	$1,028.19	$1,499.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $17.70 / $856.91 / $1,285.36	Professional		$17.70	$856.91	$1,285.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,061.00 / $2,606.00 / $6,471.00	Facility		$1,061.00	$2,606.00	$6,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $917.75 / $1,153.22 / $1,805.63	Professional		$917.75	$1,153.22	$1,805.63