Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.45 / $668.45 / $1,716.30	Facility		$668.45	$668.45	$1,716.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $668.45 / $928.45 / $1,716.30	Professional		$668.45	$928.45	$1,716.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,063.23 / $2,063.23 / $2,063.23	Facility		$2,063.23	$2,063.23	$2,063.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,143.94 / $1,157.24 / $2,539.52	Professional		$1,143.94	$1,157.24	$2,539.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,518.90 / $1,551.30 / $1,551.30	Facility		$1,518.90	$1,551.30	$1,551.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,132.45 / $1,517.96 / $1,597.84	Professional		$1,132.45	$1,517.96	$1,597.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,147.33 / $1,650.58 / $2,682.20	Professional		$1,147.33	$1,650.58	$2,682.20
United Facility/Professional Professional Modifier Low / Median / High Price $878.54 / $1,363.19 / $1,856.91	Professional		$878.54	$1,363.19	$1,856.91