Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,386.40 / $3,386.40 / $3,468.00	Facility		$3,386.40	$3,386.40	$3,468.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,264.00 / $3,386.40 / $3,523.21	Professional		$3,264.00	$3,386.40	$3,523.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,273.76 / $3,570.00 / $10,846.00	Facility		$1,273.76	$3,570.00	$10,846.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,856.00 / $3,400.00 / $3,468.00	Professional		$2,856.00	$3,400.00	$3,468.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,273.76 / $3,468.00 / $3,468.00	Facility		$1,273.76	$3,468.00	$3,468.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $3,468.00	Professional		$3,468.00	$3,468.00	$3,468.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3,386.40 / $4,080.00 / $4,080.00	Professional		$3,386.40	$4,080.00	$4,080.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,407.73 / $1,407.73 / $1,407.73	Facility		$1,407.73	$1,407.73	$1,407.73
United Facility/Professional Professional Modifier Low / Median / High Price $3,400.00 / $3,400.00 / $3,876.00	Professional		$3,400.00	$3,400.00	$3,876.00