Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,349.55 / $4,170.46 / $5,537.50	Facility		$2,349.55	$4,170.46	$5,537.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,405.72 / $1,957.96 / $16,140.60	Professional		$1,405.72	$1,957.96	$16,140.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,117.55 / $2,510.21 / $3,137.76	Facility		$1,117.55	$2,510.21	$3,137.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,239.60 / $1,239.60 / $3,294.26	Professional		$1,239.60	$1,239.60	$3,294.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,631.64 / $2,936.95 / $9,088.23	Facility		$1,631.64	$2,936.95	$9,088.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.91 / $3,057.46 / $3,663.18	Professional		$1,275.91	$3,057.46	$3,663.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $564.79 / $627.54 / $2,510.21	Professional		$564.79	$627.54	$2,510.21
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $627.54 / $627.54 / $627.54	Professional		$627.54	$627.54	$627.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.29 / $1,301.58 / $3,419.42	Professional		$1,054.29	$1,301.58	$3,419.42