Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,707.11 / $1,707.11 / $1,953.92	Facility		$1,707.11	$1,707.11	$1,953.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,665.98 / $1,707.11 / $1,748.25	Professional		$1,665.98	$1,707.11	$1,748.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,040.32 / $1,799.67 / $5,467.56	Facility		$1,040.32	$1,799.67	$5,467.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,672.86 / $1,748.25 / $1,748.25	Professional		$1,672.86	$1,748.25	$1,748.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.32 / $1,748.25 / $1,748.25	Facility		$1,040.32	$1,748.25	$1,748.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Professional		$1,748.25	$1,748.25	$1,748.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.65 / $2,056.76 / $2,056.76	Professional		$1,621.65	$2,056.76	$2,056.76
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,149.74 / $1,149.74 / $1,149.74	Facility		$1,149.74	$1,149.74	$1,149.74
United Facility/Professional Professional Modifier Low / Median / High Price $1,713.97 / $1,713.97 / $1,713.97	Professional		$1,713.97	$1,713.97	$1,713.97