Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,207.00 / $5,225.12 / $13,701.80	Facility		$4,207.00	$5,225.12	$13,701.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,225.12 / $5,225.12 / $5,351.02	Professional		$5,225.12	$5,225.12	$5,351.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,800.18 / $5,508.41 / $16,735.06	Facility		$4,800.18	$5,508.41	$16,735.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,246.10 / $5,351.02 / $5,351.02	Professional		$5,246.10	$5,351.02	$5,351.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,799.10 / $5,351.02 / $5,351.02	Facility		$4,799.10	$5,351.02	$5,351.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,351.02 / $5,351.02 / $5,351.02	Professional		$5,351.02	$5,351.02	$5,351.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6,295.32 / $6,295.32 / $6,295.32	Professional		$6,295.32	$6,295.32	$6,295.32
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $5,309.55 / $5,309.55 / $5,309.55	Facility		$5,309.55	$5,309.55	$5,309.55
United Facility/Professional Professional Modifier Low / Median / High Price $5,246.10 / $5,246.10 / $5,246.10	Professional		$5,246.10	$5,246.10	$5,246.10