Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $628.16 / $628.16 / $1,612.83	Facility		$628.16	$628.16	$1,612.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $628.16 / $866.07 / $1,612.83	Professional		$628.16	$866.07	$1,612.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,938.85 / $1,938.85 / $1,938.85	Facility		$1,938.85	$1,938.85	$1,938.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $873.36 / $888.37 / $1,938.85	Professional		$873.36	$888.37	$1,938.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $908.63 / $908.63 / $1,427.34	Facility		$908.63	$908.63	$1,427.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.30 / $908.63 / $1,062.56	Professional		$663.30	$908.63	$1,062.56
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,078.17 / $1,612.12 / $2,791.94	Professional		$1,078.17	$1,612.12	$2,791.94
United Facility/Professional Professional Modifier Low / Median / High Price $568.02 / $967.27 / $1,209.08	Professional		$568.02	$967.27	$1,209.08