Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,246.39 / $1,246.39 / $3,200.20	Facility		$1,246.39	$1,246.39	$3,200.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,246.39 / $1,537.91 / $3,200.20	Professional		$1,246.39	$1,537.91	$3,200.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,847.07 / $3,847.07 / $3,847.07	Facility		$3,847.07	$3,847.07	$3,847.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,748.40 / $1,748.40 / $3,847.07	Professional		$1,748.40	$1,748.40	$3,847.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,289.62 / $2,289.62 / $2,832.12	Facility		$2,289.62	$2,289.62	$2,832.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,671.42 / $1,671.42 / $3,207.34	Professional		$1,671.42	$1,671.42	$3,207.34
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2,139.31 / $3,077.66 / $5,001.18	Professional		$2,139.31	$3,077.66	$5,001.18
United Facility/Professional Professional Modifier Low / Median / High Price $1,341.53 / $1,919.26 / $2,399.08	Professional		$1,341.53	$1,919.26	$2,399.08