Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $659.54 / $659.54 / $761.00	Facility		$659.54	$659.54	$761.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $659.54 / $761.00 / $833.17	Professional		$659.54	$761.00	$833.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,931.31 / $1,931.31 / $1,931.31	Facility		$1,931.31	$1,931.31	$1,931.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,130.95 / $1,176.26 / $2,575.08	Professional		$1,130.95	$1,176.26	$2,575.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,206.80 / $1,206.80 / $1,243.93	Facility		$1,206.80	$1,206.80	$1,243.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $880.96 / $1,206.80 / $1,629.99	Professional		$880.96	$1,206.80	$1,629.99
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,073.98 / $1,545.05 / $2,510.69	Professional		$1,073.98	$1,545.05	$2,510.69
United Facility/Professional Professional Modifier Low / Median / High Price $754.42 / $963.51 / $1,382.27	Professional		$754.42	$963.51	$1,382.27