Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,376.79 / $2,591.52 / $3,047.68	Facility		$1,376.79	$2,591.52	$3,047.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,336.58 / $3,676.31	Professional		$1,323.35	$1,336.58	$3,676.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,210.86 / $1,389.52 / $4,221.49	Facility		$1,210.86	$1,389.52	$4,221.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,323.35 / $1,428.74	Professional		$1,323.35	$1,323.35	$1,428.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,323.35 / $1,323.35 / $1,392.52	Facility		$1,323.35	$1,323.35	$1,392.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,323.35 / $1,323.35	Professional		$1,323.35	$1,323.35	$1,323.35
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,400.38 / $1,435.70 / $1,687.20	Professional		$1,400.38	$1,435.70	$1,687.20
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,588.23 / $1,588.23 / $1,588.23	Facility		$1,588.23	$1,588.23	$1,588.23
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,323.34 / $1,323.34 / $1,323.34	Professional		$1,323.34	$1,323.34	$1,323.34
United Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,323.35 / $1,402.75	Professional		$1,323.35	$1,323.35	$1,402.75