Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,569.51 / $1,569.51 / $4,029.82	Facility		$1,569.51	$1,569.51	$4,029.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,569.51 / $2,179.98 / $4,029.82	Professional		$1,569.51	$2,179.98	$4,029.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,844.39 / $4,844.39 / $4,844.39	Facility		$4,844.39	$4,844.39	$4,844.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,443.31 / $2,516.48 / $5,424.13	Professional		$2,443.31	$2,516.48	$5,424.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,364.97 / $3,364.97 / $3,566.33	Facility		$3,364.97	$3,364.97	$3,566.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,018.61 / $2,583.37 / $3,587.23	Professional		$2,018.61	$2,583.37	$3,587.23
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2,693.91 / $3,875.52 / $6,297.72	Professional		$2,693.91	$3,875.52	$6,297.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,589.10 / $2,589.51 / $3,382.55	Professional		$1,589.10	$2,589.51	$3,382.55