Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,116.32 / $3,043.07 / $4,873.89	Facility		$2,116.32	$3,043.07	$4,873.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,906.34 / $4,067.00	Professional		$2,116.32	$2,906.34	$4,067.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,936.43 / $2,222.14 / $6,751.06	Facility		$1,936.43	$2,222.14	$6,751.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,113.23 / $2,113.23 / $2,116.32	Professional		$2,113.23	$2,113.23	$2,116.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,067.91 / $2,116.32 / $2,116.32	Facility		$2,067.91	$2,116.32	$2,116.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,116.32 / $2,116.32	Professional		$2,116.32	$2,116.32	$2,116.32
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,296.01 / $2,426.55	Professional		$2,116.32	$2,296.01	$2,426.55
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,291.41 / $2,291.41 / $2,291.41	Facility		$2,291.41	$2,291.41	$2,291.41
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,116.32 / $2,116.32	Professional		$2,116.32	$2,116.32	$2,116.32
United Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,116.32 / $2,116.32	Professional		$2,116.32	$2,116.32	$2,116.32