Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $688.90 / $688.90 / $1,768.81	Facility		$688.90	$688.90	$1,768.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $688.90 / $850.03 / $1,768.81	Professional		$688.90	$850.03	$1,768.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,126.34 / $2,126.34 / $2,126.34	Facility		$2,126.34	$2,126.34	$2,126.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $957.82 / $957.82 / $2,126.34	Professional		$957.82	$957.82	$2,126.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,020.64 / $1,020.64 / $1,565.35	Facility		$1,020.64	$1,020.64	$1,565.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $745.07 / $1,020.64 / $1,405.30	Professional		$745.07	$1,020.64	$1,405.30
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,182.43 / $1,701.07 / $2,764.24	Professional		$1,182.43	$1,701.07	$2,764.24
United Facility/Professional Professional Modifier Low / Median / High Price $622.95 / $795.61 / $1,326.01	Professional		$622.95	$795.61	$1,326.01