Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,027.50 / $1,027.50 / $2,638.17	Facility		$1,027.50	$1,027.50	$2,638.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,027.50 / $1,267.82 / $2,638.17	Professional		$1,027.50	$1,267.82	$2,638.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,171.43 / $3,171.43 / $3,171.43	Facility		$3,171.43	$3,171.43	$3,171.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,477.47 / $1,556.88 / $3,171.43	Professional		$1,477.47	$1,556.88	$3,171.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,486.28 / $1,486.28 / $2,334.73	Facility		$1,486.28	$1,486.28	$2,334.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,084.98 / $1,486.28 / $2,096.01	Professional		$1,084.98	$1,486.28	$2,096.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,763.60 / $2,537.14 / $4,122.85	Professional		$1,763.60	$2,537.14	$4,122.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,428.89 / $1,428.89 / $1,428.89	Facility		$1,428.89	$1,428.89	$1,428.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,097.15 / $1,207.45 / $1,977.75	Professional		$1,097.15	$1,207.45	$1,977.75