Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,057.65 / $3,652.33 / $4,849.54	Facility		$2,057.65	$3,652.33	$4,849.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,648.76 / $1,714.71 / $1,714.71	Professional		$1,648.76	$1,714.71	$1,714.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $714.46 / $2,198.35 / $5,276.04	Facility		$714.46	$2,198.35	$5,276.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $514.79 / $514.79 / $1,138.74	Professional		$514.79	$514.79	$1,138.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,428.93 / $2,572.07 / $7,959.14	Facility		$1,428.93	$2,572.07	$7,959.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,677.46 / $2,677.46 / $3,207.90	Professional		$2,677.46	$2,677.46	$3,207.90
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2,198.35 / $2,198.35 / $2,308.27	Professional		$2,198.35	$2,198.35	$2,308.27
United Facility/Professional Facility Modifier Low / Median / High Price $3,297.53 / $3,297.53 / $3,297.53	Facility		$3,297.53	$3,297.53	$3,297.53
United Facility/Professional Professional Modifier Low / Median / High Price $923.31 / $923.31 / $2,198.35	Professional		$923.31	$923.31	$2,198.35