Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,854.35 / $9,223.28 / $12,841.80	Facility		$4,854.35	$9,223.28	$12,841.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,678.89 / $4,854.35 / $11,942.30	Professional		$4,678.89	$4,854.35	$11,942.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $5,166.29 / $5,166.29	Facility		$0.03	$5,166.29	$5,166.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,971.34 / $5,166.29 / $5,166.29	Professional		$4,971.34	$5,166.29	$5,166.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,971.34 / $4,971.34 / $4,971.34	Facility		$4,971.34	$4,971.34	$4,971.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,971.34 / $4,971.34 / $4,971.34	Professional		$4,971.34	$4,971.34	$4,971.34
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $409.40 / $5,848.63 / $5,848.63	Professional		$409.40	$5,848.63	$5,848.63
United Facility/Professional Professional Modifier Low / Median / High Price $4,873.85 / $4,873.85 / $5,166.29	Professional		$4,873.85	$4,873.85	$5,166.29