Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,134.32 / $1,134.32 / $1,134.32	Facility		$1,134.32	$1,134.32	$1,134.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,378.19 / $2,616.01 / $2,616.01	Professional		$2,378.19	$2,616.01	$2,616.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,310.00 / $1,310.00 / $1,545.00	Facility		$1,310.00	$1,310.00	$1,545.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.56 / $208.64 / $1,567.16	Professional		$202.56	$208.64	$1,567.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $719.77 / $1,978.78 / $3,388.33	Facility		$719.77	$1,978.78	$3,388.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $498.00 / $498.00 / $498.00	Professional		$498.00	$498.00	$498.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $677.98 / $899.40 / $1,247.75	Professional		$677.98	$899.40	$1,247.75
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,409.67 / $1,409.67 / $1,409.67	Facility		$1,409.67	$1,409.67	$1,409.67
United Facility/Professional Professional Modifier Low / Median / High Price $88.74 / $1,154.36 / $1,911.88	Professional		$88.74	$1,154.36	$1,911.88