Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,408.38 / $12,263.70 / $14,758.50	Facility		$6,408.38	$12,263.70	$14,758.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $14,657.40	Professional		$6,408.38	$6,408.38	$14,657.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,863.67 / $6,728.80 / $20,442.73	Facility		$5,863.67	$6,728.80	$20,442.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $6,454.57	Professional		$6,408.38	$6,408.38	$6,454.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,084.10 / $6,408.38 / $6,408.38	Facility		$6,084.10	$6,408.38	$6,408.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $6,408.38	Professional		$6,408.38	$6,408.38	$6,408.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,952.48 / $7,793.55	Professional		$6,408.38	$6,952.48	$7,793.55
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $6,726.48 / $6,726.48 / $6,726.48	Facility		$6,726.48	$6,726.48	$6,726.48
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $6,408.38	Professional		$6,408.38	$6,408.38	$6,408.38
United Facility/Professional Professional Modifier Low / Median / High Price $4,165.45 / $6,408.38 / $7,793.55	Professional		$4,165.45	$6,408.38	$7,793.55