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 $1,175.67 / $1,245.26 / $4,473.00	Professional		$1,175.67	$1,245.26	$4,473.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,877.00 / $5,379.00 / $8,190.00	Facility		$3,877.00	$5,379.00	$8,190.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,210.48 / $1,488.08 / $2,141.62	Professional		$1,210.48	$1,488.08	$2,141.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,069.49 / $3,069.49 / $3,069.49	Facility		$3,069.49	$3,069.49	$3,069.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,062.94 / $1,382.78 / $2,003.32	Professional		$1,062.94	$1,382.78	$2,003.32
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $32.63 / $1,450.56 / $3,949.19	Professional		$32.63	$1,450.56	$3,949.19
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,159.35 / $6,537.87 / $6,537.87	Facility		$3,159.35	$6,537.87	$6,537.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $1,186.13 / $4,739.03	Professional		$22.20	$1,186.13	$4,739.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $4,145.00 / $10,407.00	Facility		$2,042.00	$4,145.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.79 / $1,410.40 / $2,165.23	Professional		$1,122.79	$1,410.40	$2,165.23