Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,651.45 / $1,651.45 / $4,240.22	Facility		$1,651.45	$1,651.45	$4,240.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,651.45 / $2,057.17 / $4,240.22	Professional		$1,651.45	$2,057.17	$4,240.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,097.31 / $5,097.31 / $5,097.31	Facility		$5,097.31	$5,097.31	$5,097.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,296.10 / $2,335.56 / $5,097.31	Professional		$2,296.10	$2,335.56	$5,097.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,297.39 / $3,297.39 / $3,752.52	Facility		$3,297.39	$3,297.39	$3,752.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,407.09 / $3,226.54 / $3,396.31	Professional		$2,407.09	$3,226.54	$3,396.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2,834.56 / $4,077.85 / $6,626.50	Professional		$2,834.56	$4,077.85	$6,626.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,763.40 / $2,542.98 / $3,178.74	Professional		$1,763.40	$2,542.98	$3,178.74