Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,968.58 / $9,440.29 / $11,902.40	Facility		$4,968.58	$9,440.29	$11,902.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,168.22 / $5,168.22 / $10,407.00	Professional		$5,168.22	$5,168.22	$10,407.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,728.93 / $5,426.64 / $16,486.65	Facility		$4,728.93	$5,426.64	$16,486.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,968.58 / $4,968.58 / $5,168.22	Professional		$4,968.58	$4,968.58	$5,168.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,069.97 / $5,168.22 / $5,168.22	Facility		$5,069.97	$5,168.22	$5,168.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,168.22 / $5,168.22 / $5,168.22	Professional		$5,168.22	$5,168.22	$5,168.22
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5,168.22 / $5,607.04 / $5,968.80	Professional		$5,168.22	$5,607.04	$5,968.80
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $5,402.23 / $5,402.23 / $5,402.23	Facility		$5,402.23	$5,402.23	$5,402.23
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5,168.22 / $5,168.22 / $5,168.22	Professional		$5,168.22	$5,168.22	$5,168.22
United Facility/Professional Professional Modifier Low / Median / High Price $5,168.22 / $5,168.22 / $5,168.22	Professional		$5,168.22	$5,168.22	$5,168.22