Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,808.65 / $3,437.94 / $4,165.32	Facility		$1,808.65	$3,437.94	$4,165.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,808.65 / $1,808.65 / $3,922.01	Professional		$1,808.65	$1,808.65	$3,922.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,654.91 / $1,899.08 / $5,769.59	Facility		$1,654.91	$1,899.08	$5,769.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,808.65 / $1,808.65 / $1,809.44	Professional		$1,808.65	$1,808.65	$1,809.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,808.65 / $1,808.65 / $1,814.11	Facility		$1,808.65	$1,808.65	$1,814.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,808.65 / $1,808.65 / $1,808.65	Professional		$1,808.65	$1,808.65	$1,808.65
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,808.64 / $1,962.21 / $2,108.21	Professional		$1,808.64	$1,962.21	$2,108.21
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,005.84 / $2,005.84 / $2,005.84	Facility		$2,005.84	$2,005.84	$2,005.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,808.64 / $1,808.64 / $1,808.64	Professional		$1,808.64	$1,808.64	$1,808.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,808.65 / $1,808.65 / $2,025.69	Professional		$1,808.65	$1,808.65	$2,025.69