Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,762.90 / $1,762.90 / $4,526.37	Facility		$1,762.90	$1,762.90	$4,526.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,762.90 / $2,286.48 / $4,526.37	Professional		$1,762.90	$2,286.48	$4,526.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,441.30 / $5,441.30 / $5,441.30	Facility		$5,441.30	$5,441.30	$5,441.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,469.21 / $2,469.21 / $5,441.30	Professional		$2,469.21	$2,469.21	$5,441.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,550.04 / $2,550.04 / $4,005.76	Facility		$2,550.04	$2,550.04	$4,005.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,861.53 / $2,550.04 / $3,596.16	Professional		$1,861.53	$2,550.04	$3,596.16
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3,025.85 / $4,353.04 / $7,073.69	Professional		$3,025.85	$4,353.04	$7,073.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,882.40 / $2,035.96 / $3,393.26	Professional		$1,882.40	$2,035.96	$3,393.26