Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.87 / $495.87 / $1,273.19	Facility		$495.87	$495.87	$1,273.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.87 / $688.75 / $1,273.19	Professional		$495.87	$688.75	$1,273.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,530.55 / $1,530.55 / $1,530.55	Facility		$1,530.55	$1,530.55	$1,530.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,092.50 / $1,092.50 / $1,799.54	Professional		$1,092.50	$1,092.50	$1,799.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $843.35 / $843.35 / $1,126.75	Facility		$843.35	$843.35	$1,126.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $716.85 / $843.35 / $868.65	Professional		$716.85	$843.35	$868.65
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $851.12 / $1,272.61 / $2,203.98	Professional		$851.12	$1,272.61	$2,203.98
United Facility/Professional Professional Modifier Low / Median / High Price $527.21 / $673.33 / $1,122.22	Professional		$527.21	$673.33	$1,122.22