Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,828.72 / $3,536.15 / $4,211.54	Facility		$1,828.72	$3,536.15	$4,211.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,828.72 / $1,828.72 / $7,974.62	Professional		$1,828.72	$1,828.72	$7,974.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,673.28 / $1,920.16 / $5,833.62	Facility		$1,673.28	$1,920.16	$5,833.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,828.72 / $1,828.72 / $1,861.13	Professional		$1,828.72	$1,828.72	$1,861.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,779.64 / $1,828.71 / $1,828.71	Facility		$1,779.64	$1,828.71	$1,828.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,828.71 / $1,828.71 / $1,828.71	Professional		$1,828.71	$1,828.71	$1,828.71
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,828.72 / $1,983.98 / $3,837.60	Professional		$1,828.72	$1,983.98	$3,837.60
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,947.71 / $1,947.71 / $1,947.71	Facility		$1,947.71	$1,947.71	$1,947.71
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,828.72 / $1,828.72 / $1,828.72	Professional		$1,828.72	$1,828.72	$1,828.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,828.72 / $1,828.72 / $1,828.72	Professional		$1,828.72	$1,828.72	$1,828.72