Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.00 / $3,509.00 / $7,674.00	Facility		$1,862.00	$3,509.00	$7,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,162.16 / $1,536.18 / $3,906.00	Professional		$1,162.16	$1,536.18	$3,906.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $4,589.00 / $6,006.00	Facility		$3,671.00	$4,589.00	$6,006.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $910.80 / $1,261.98 / $1,799.48	Professional		$910.80	$1,261.98	$1,799.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,669.80 / $1,669.80 / $1,669.80	Facility		$1,669.80	$1,669.80	$1,669.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $964.96 / $1,557.81 / $2,459.98	Professional		$964.96	$1,557.81	$2,459.98
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $1,572.52 / $2,167.75	Professional		$26.40	$1,572.52	$2,167.75
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $4,167.63 / $4,167.63 / $4,167.63	Facility		$4,167.63	$4,167.63	$4,167.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $1,320.50 / $2,718.69	Professional		$13.20	$1,320.50	$2,718.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,060.00 / $9,042.00	Facility		$1,642.00	$3,060.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,144.56 / $1,418.76 / $2,443.42	Professional		$1,144.56	$1,418.76	$2,443.42