Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,808.10 / $4,396.00 / $10,300.00	Facility		$1,808.10	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,752.75 / $1,752.75 / $4,473.00	Professional		$1,752.75	$1,752.75	$4,473.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,452.00 / $5,379.00 / $14,000.83	Facility		$4,452.00	$5,379.00	$14,000.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,724.57 / $2,086.14 / $3,002.32	Professional		$1,724.57	$2,086.14	$3,002.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,506.23 / $2,018.35 / $2,959.01	Professional		$1,506.23	$2,018.35	$2,959.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $30.40 / $1,794.95 / $2,606.84	Professional		$30.40	$1,794.95	$2,606.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $22.80 / $1,489.62 / $2,234.42	Professional		$22.80	$1,489.62	$2,234.42
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 $51.00 / $2,009.59 / $3,064.57	Professional		$51.00	$2,009.59	$3,064.57