Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,273.77 / $1,273.77 / $3,270.48	Facility		$1,273.77	$1,273.77	$3,270.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,273.77 / $1,769.21 / $3,270.48	Professional		$1,273.77	$1,769.21	$3,270.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,931.57 / $3,931.57 / $3,931.57	Facility		$3,931.57	$3,931.57	$3,931.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,076.23 / $2,148.37 / $4,609.21	Professional		$2,076.23	$2,148.37	$4,609.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,160.07 / $2,160.07 / $2,894.31	Facility		$2,160.07	$2,160.07	$2,894.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,576.85 / $2,160.07 / $2,634.85	Professional		$1,576.85	$2,160.07	$2,634.85
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2,186.29 / $3,145.26 / $5,111.04	Professional		$2,186.29	$3,145.26	$5,111.04
United Facility/Professional Professional Modifier Low / Median / High Price $1,594.54 / $1,961.41 / $2,657.57	Professional		$1,594.54	$1,961.41	$2,657.57