Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,087.97 / $7,947.45 / $7,947.45	Facility		$5,087.97	$7,947.45	$7,947.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,965.37 / $5,087.97 / $5,210.58	Professional		$4,965.37	$5,087.97	$5,210.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,074.81 / $5,363.83 / $16,295.83	Facility		$2,074.81	$5,363.83	$16,295.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,318.27 / $5,210.58 / $5,210.58	Professional		$2,318.27	$5,210.58	$5,210.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,380.79 / $5,210.58 / $5,210.58	Facility		$4,380.79	$5,210.58	$5,210.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,210.58 / $5,210.58 / $5,210.58	Professional		$5,210.58	$5,210.58	$5,210.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6,130.09 / $6,130.09 / $6,130.09	Professional		$6,130.09	$6,130.09	$6,130.09
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,293.04 / $2,293.04 / $2,293.04	Facility		$2,293.04	$2,293.04	$2,293.04
United Facility/Professional Professional Modifier Low / Median / High Price $5,108.41 / $5,108.41 / $5,108.41	Professional		$5,108.41	$5,108.41	$5,108.41