Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.40 / $1,652.63 / $3,200.36	Facility		$669.40	$1,652.63	$3,200.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,101.70 / $1,388.00 / $4,038.83	Professional		$1,101.70	$1,388.00	$4,038.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,111.39 / $1,275.35 / $3,874.67	Facility		$1,111.39	$1,275.35	$3,874.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,238.93 / $1,238.93	Professional		$1,214.63	$1,238.93	$1,238.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Facility		$1,238.93	$1,238.93	$1,238.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Professional		$1,238.93	$1,238.93	$1,238.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,457.56	Professional		$1,238.93	$1,238.93	$1,457.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $1,214.63	Professional		$1,214.63	$1,214.63	$1,214.63