Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,214.28 / $2,307.13 / $3,212.29	Facility		$1,214.28	$2,307.13	$3,212.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,214.28 / $1,214.28 / $1,243.54	Professional		$1,214.28	$1,214.28	$1,243.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,115.53 / $1,280.25 / $3,889.12	Facility		$1,115.53	$1,280.25	$3,889.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,219.16 / $1,243.54 / $1,243.54	Professional		$1,219.16	$1,243.54	$1,243.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,246.99	Facility		$1,243.54	$1,243.54	$1,246.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,243.54	Professional		$1,243.54	$1,243.54	$1,243.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,462.99 / $1,462.99 / $1,462.99	Professional		$1,462.99	$1,462.99	$1,462.99
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,361.47 / $1,361.47 / $1,361.47	Facility		$1,361.47	$1,361.47	$1,361.47
United Facility/Professional Professional Modifier Low / Median / High Price $1,219.16 / $1,219.16 / $1,219.16	Professional		$1,219.16	$1,219.16	$1,219.16