Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,128.02 / $7,838.54 / $9,506.83	Facility		$4,128.02	$7,838.54	$9,506.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.67 / $4,128.02 / $4,540.82	Professional		$121.67	$4,128.02	$4,540.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,777.14 / $4,334.42 / $13,168.38	Facility		$3,777.14	$4,334.42	$13,168.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,281.22	Professional		$4,128.02	$4,128.02	$4,281.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,989.64 / $4,128.02 / $4,128.02	Facility		$3,989.64	$4,128.02	$4,128.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,128.02	Professional		$4,128.02	$4,128.02	$4,128.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4,019.86 / $4,478.51 / $4,843.20	Professional		$4,019.86	$4,478.51	$4,843.20
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $4,263.82 / $4,263.82 / $4,263.82	Facility		$4,263.82	$4,263.82	$4,263.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,128.02	Professional		$4,128.02	$4,128.02	$4,128.02
United Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,375.70	Professional		$4,128.02	$4,128.02	$4,375.70