Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $10,000.00 / $12,302.69	Facility		$4,897.79	$10,000.00	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $4,897.79 / $5,370.32	Professional		$2,511.89	$4,897.79	$5,370.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $5,128.61 / $15,848.93	Facility		$4,897.79	$5,128.61	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,398.83 / $4,897.79	Professional		$1,047.13	$2,398.83	$4,897.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Facility		$4,897.79	$4,897.79	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $7,943.28	Professional		$1,348.96	$1,348.96	$7,943.28
Select Health Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $4,897.79 / $4,897.79	Professional		$1,584.89	$4,897.79	$4,897.79