Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,216.45 / $1,216.45 / $3,123.32	Facility		$1,216.45	$1,216.45	$3,123.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,216.45 / $1,509.14 / $3,123.32	Professional		$1,216.45	$1,509.14	$3,123.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,754.65 / $3,754.65 / $3,754.65	Facility		$3,754.65	$3,754.65	$3,754.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,700.50 / $1,806.78 / $3,775.09	Professional		$1,700.50	$1,806.78	$3,775.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,769.18 / $1,769.18 / $2,764.07	Facility		$1,769.18	$1,769.18	$2,764.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,291.50 / $1,769.17 / $2,481.42	Professional		$1,291.50	$1,769.17	$2,481.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2,087.91 / $3,003.72 / $4,881.05	Professional		$2,087.91	$3,003.72	$4,881.05
United Facility/Professional Professional Modifier Low / Median / High Price $1,105.98 / $1,412.51 / $2,354.19	Professional		$1,105.98	$1,412.51	$2,354.19