Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,417.75 / $1,417.75 / $3,640.17	Facility		$1,417.75	$1,417.75	$3,640.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,417.75 / $1,969.19 / $3,640.17	Professional		$1,417.75	$1,969.19	$3,640.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,375.97 / $4,375.97 / $4,375.97	Facility		$4,375.97	$4,375.97	$4,375.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,693.73 / $2,693.73 / $5,340.22	Professional		$2,693.73	$2,693.73	$5,340.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,502.67 / $2,502.67 / $3,221.50	Facility		$2,502.67	$2,502.67	$3,221.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,826.95 / $2,502.67 / $2,837.97	Professional		$1,826.95	$2,502.67	$2,837.97
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2,433.42 / $3,500.78 / $5,688.76	Professional		$2,433.42	$3,500.78	$5,688.76
United Facility/Professional Professional Modifier Low / Median / High Price $1,564.52 / $1,998.13 / $3,079.07	Professional		$1,564.52	$1,998.13	$3,079.07