Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,672.47 / $8,877.69 / $10,793.80	Facility		$4,672.47	$8,877.69	$10,793.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $10,493.60	Professional		$4,686.85	$4,686.85	$10,493.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,288.47 / $4,921.18 / $14,951.05	Facility		$4,288.47	$4,921.18	$14,951.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,672.47 / $4,672.47 / $4,686.85	Professional		$4,672.47	$4,672.47	$4,686.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,657.58 / $4,686.85 / $4,686.85	Facility		$4,657.58	$4,686.85	$4,686.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $4,686.85	Professional		$4,686.85	$4,686.85	$4,686.85
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $5,084.79 / $5,580.42	Professional		$4,686.85	$5,084.79	$5,580.42
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $5,071.42 / $5,071.42 / $5,071.42	Facility		$5,071.42	$5,071.42	$5,071.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $4,686.85	Professional		$4,686.85	$4,686.85	$4,686.85
United Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $4,686.85	Professional		$4,686.85	$4,686.85	$4,686.85