Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $925.92 / $1,759.25 / $2,873.67	Facility		$925.92	$1,759.25	$2,873.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $828.07 / $925.92 / $1,086.28	Professional		$828.07	$925.92	$1,086.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Facility		$0.03	$0.03	$0.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,090.64 / $1,156.08 / $1,156.08	Professional		$1,090.64	$1,156.08	$1,156.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,024.31 / $1,024.31 / $1,523.52	Professional		$1,024.31	$1,024.31	$1,523.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $1,308.77 / $1,308.77	Professional		$400.00	$1,308.77	$1,308.77
United Facility/Professional Professional Modifier Low / Median / High Price $1,308.77 / $1,308.77 / $1,308.77	Professional		$1,308.77	$1,308.77	$1,308.77