Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $725.00 / $725.00 / $836.54	Facility		$725.00	$725.00	$836.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $725.00 / $836.54 / $1,117.97	Professional		$725.00	$836.54	$1,117.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,123.00 / $2,123.00 / $2,123.00	Facility		$2,123.00	$2,123.00	$2,123.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,137.90 / $1,181.67 / $2,590.82	Professional		$1,137.90	$1,181.67	$2,590.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,540.39 / $1,540.39 / $1,562.90	Facility		$1,540.39	$1,540.39	$1,562.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,124.48 / $1,376.83 / $1,586.60	Professional		$1,124.48	$1,376.83	$1,586.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,180.57 / $1,698.40 / $2,759.90	Professional		$1,180.57	$1,698.40	$2,759.90
United Facility/Professional Professional Modifier Low / Median / High Price $759.03 / $969.40 / $1,418.53	Professional		$759.03	$969.40	$1,418.53