Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,608.16 / $4,833.39 / $6,006.59	Facility		$2,608.16	$4,833.39	$6,006.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,634.24 / $5,397.93	Professional		$2,608.16	$2,634.24	$5,397.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,386.46 / $2,738.57 / $8,320.03	Facility		$2,386.46	$2,738.57	$8,320.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $2,639.89	Professional		$2,608.16	$2,608.16	$2,639.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $2,732.53	Facility		$2,608.16	$2,608.16	$2,732.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $2,608.16	Professional		$2,608.16	$2,608.16	$2,608.16
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,829.60 / $3,541.54	Professional		$2,608.16	$2,829.60	$3,541.54
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,809.11 / $2,809.11 / $2,809.11	Facility		$2,809.11	$2,809.11	$2,809.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $2,608.16	Professional		$2,608.16	$2,608.16	$2,608.16
United Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $2,764.65	Professional		$2,608.16	$2,608.16	$2,764.65