Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,035.76 / $11,467.90 / $15,967.10	Facility		$6,035.76	$11,467.90	$15,967.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,817.60 / $6,035.76 / $6,181.20	Professional		$5,817.60	$6,035.76	$6,181.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,110.63 / $6,363.00 / $19,331.40	Facility		$2,110.63	$6,363.00	$19,331.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,110.63 / $2,110.63 / $6,181.20	Professional		$2,110.63	$2,110.63	$6,181.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,301.26 / $6,181.20 / $6,181.20	Facility		$5,301.26	$6,181.20	$6,181.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,491.65 / $6,181.20 / $6,181.20	Professional		$2,491.65	$6,181.20	$6,181.20
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6,035.76 / $6,181.20 / $7,272.00	Professional		$6,035.76	$6,181.20	$7,272.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $5,858.85 / $5,858.85 / $5,858.85	Facility		$5,858.85	$5,858.85	$5,858.85
United Facility/Professional Professional Modifier Low / Median / High Price $6,060.00 / $6,060.00 / $6,423.60	Professional		$6,060.00	$6,060.00	$6,423.60