Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $694.95 / $694.95 / $1,784.32	Facility		$694.95	$694.95	$1,784.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $694.95 / $965.25 / $1,784.32	Professional		$694.95	$965.25	$1,784.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,144.98 / $2,144.98 / $2,144.98	Facility		$2,144.98	$2,144.98	$2,144.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,126.83 / $1,146.20 / $2,501.56	Professional		$1,126.83	$1,146.20	$2,501.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,576.65 / $1,576.65 / $1,579.10	Facility		$1,576.65	$1,576.65	$1,579.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,150.95 / $1,523.56 / $1,623.95	Professional		$1,150.95	$1,523.56	$1,623.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,192.81 / $1,715.99 / $2,788.49	Professional		$1,192.81	$1,715.99	$2,788.49
United Facility/Professional Professional Modifier Low / Median / High Price $732.88 / $936.00 / $1,442.35	Professional		$732.88	$936.00	$1,442.35