Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,651.66 / $3,651.66 / $4,179.60	Facility		$3,651.66	$3,651.66	$4,179.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,563.67 / $3,651.66 / $3,739.65	Professional		$3,563.67	$3,651.66	$3,739.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $683.80 / $3,849.65 / $11,695.59	Facility		$683.80	$3,849.65	$11,695.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $379.53 / $3,739.65 / $3,739.65	Professional		$379.53	$3,739.65	$3,739.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $683.80 / $3,739.65 / $3,739.65	Facility		$683.80	$3,739.65	$3,739.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,739.65 / $3,739.65 / $3,739.65	Professional		$3,739.65	$3,739.65	$3,739.65
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4,399.59 / $4,399.59 / $4,399.59	Professional		$4,399.59	$4,399.59	$4,399.59
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $755.72 / $755.72 / $755.72	Facility		$755.72	$755.72	$755.72
United Facility/Professional Professional Modifier Low / Median / High Price $3,666.33 / $3,666.33 / $3,666.33	Professional		$3,666.33	$3,666.33	$3,666.33