Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,698.05 / $5,126.29 / $6,213.61	Facility		$2,698.05	$5,126.29	$6,213.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,725.03 / $6,134.73	Professional		$2,698.05	$2,725.03	$6,134.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,468.71 / $2,832.95 / $8,606.78	Facility		$2,468.71	$2,832.95	$8,606.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $2,799.86	Professional		$2,698.05	$2,698.05	$2,799.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,658.13 / $2,698.05 / $2,698.05	Facility		$2,658.13	$2,698.05	$2,698.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $2,698.05	Professional		$2,698.05	$2,698.05	$2,698.05
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2,646.70 / $2,927.13 / $3,188.79	Professional		$2,646.70	$2,927.13	$3,188.79
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,894.30 / $2,894.30 / $2,894.30	Facility		$2,894.30	$2,894.30	$2,894.30
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $2,698.05	Professional		$2,698.05	$2,698.05	$2,698.05
United Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $3,237.66	Professional		$2,698.05	$2,698.05	$3,237.66