Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,333.18 / $1,333.18 / $3,423.03	Facility		$1,333.18	$1,333.18	$3,423.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,333.18 / $1,851.72 / $3,423.03	Professional		$1,333.18	$1,851.72	$3,423.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,114.93 / $4,114.93 / $4,114.93	Facility		$4,114.93	$4,114.93	$4,114.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,224.32 / $2,262.55 / $4,937.96	Professional		$2,224.32	$2,262.55	$4,937.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,970.85 / $2,970.85 / $3,029.32	Facility		$2,970.85	$2,970.85	$3,029.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,168.71 / $2,668.63 / $3,167.07	Professional		$2,168.71	$2,668.63	$3,167.07
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2,288.27 / $3,291.95 / $5,349.42	Professional		$2,288.27	$3,291.95	$5,349.42
United Facility/Professional Professional Modifier Low / Median / High Price $1,721.95 / $2,199.58 / $2,783.80	Professional		$1,721.95	$2,199.58	$2,783.80