Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.43 / $412.43 / $1,058.95	Facility		$412.43	$412.43	$1,058.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.43 / $508.89 / $1,058.95	Professional		$412.43	$508.89	$1,058.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,273.00 / $1,273.00 / $1,273.00	Facility		$1,273.00	$1,273.00	$1,273.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $573.42 / $581.25 / $1,273.00	Professional		$573.42	$581.25	$1,273.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $596.58 / $596.58 / $937.15	Facility		$596.58	$596.58	$937.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.50 / $435.50 / $1,060.69	Professional		$435.50	$435.50	$1,060.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $707.90 / $1,018.40 / $1,654.90	Professional		$707.90	$1,018.40	$1,654.90
United Facility/Professional Facility Modifier Low / Median / High Price $359.65 / $629.41 / $714.47	Facility		$359.65	$629.41	$714.47
United Facility/Professional Professional Modifier Low / Median / High Price $440.39 / $635.08 / $793.85	Professional		$440.39	$635.08	$793.85