Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,620.38 / $2,620.38 / $6,728.00	Facility		$2,620.38	$2,620.38	$6,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,620.38 / $3,233.27 / $6,728.00	Professional		$2,620.38	$3,233.27	$6,728.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,087.97 / $8,087.97 / $8,087.97	Facility		$8,087.97	$8,087.97	$8,087.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,643.25 / $3,688.79 / $8,087.97	Professional		$3,643.25	$3,688.79	$8,087.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,790.37 / $3,790.37 / $5,954.17	Facility		$3,790.37	$3,790.37	$5,954.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,766.97 / $3,790.37 / $5,046.32	Professional		$2,766.97	$3,790.37	$5,046.32
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4,497.63 / $6,470.38 / $10,514.36	Professional		$4,497.63	$6,470.38	$10,514.36
United Facility/Professional Professional Modifier Low / Median / High Price $2,369.52 / $3,026.25 / $5,043.75	Professional		$2,369.52	$3,026.25	$5,043.75