Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,730.32 / $3,300.49 / $3,984.93	Facility		$1,730.32	$3,300.49	$3,984.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,730.31 / $2,056.78 / $10,591.82	Professional		$1,730.31	$2,056.78	$10,591.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,583.24 / $1,816.84 / $5,519.72	Facility		$1,583.24	$1,816.84	$5,519.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,730.32 / $1,730.32 / $1,737.10	Professional		$1,730.32	$1,730.32	$1,737.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,666.78 / $1,730.32 / $1,730.32	Facility		$1,666.78	$1,730.32	$1,730.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,730.32 / $1,730.32 / $1,730.32	Professional		$1,730.32	$1,730.32	$1,730.32
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,730.32 / $1,877.24 / $2,161.33	Professional		$1,730.32	$1,877.24	$2,161.33
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,787.79 / $1,787.79 / $1,787.79	Facility		$1,787.79	$1,787.79	$1,787.79
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,730.32 / $1,730.32 / $1,730.32	Professional		$1,730.32	$1,730.32	$1,730.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,730.32 / $1,730.32 / $1,926.21	Professional		$1,730.32	$1,730.32	$1,926.21