Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,976.55 / $3,755.45 / $4,643.82	Facility		$1,976.55	$3,755.45	$4,643.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $6,049.88	Professional		$2,016.42	$2,016.42	$6,049.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.02 / $2,117.23 / $6,432.38	Facility		$1,845.02	$2,117.23	$6,432.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,976.55 / $1,976.55 / $2,016.42	Professional		$1,976.55	$1,976.55	$2,016.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,931.81 / $2,016.42 / $2,016.42	Facility		$1,931.81	$2,016.42	$2,016.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $2,016.42	Professional		$2,016.42	$2,016.42	$2,016.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2,016.42 / $2,187.63 / $2,540.81	Professional		$2,016.42	$2,187.63	$2,540.81
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,147.42 / $2,147.42 / $2,147.42	Facility		$2,147.42	$2,147.42	$2,147.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $2,016.42	Professional		$2,016.42	$2,016.42	$2,016.42
United Facility/Professional Professional Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $2,016.42	Professional		$2,016.42	$2,016.42	$2,016.42