Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,354.33 / $1,354.33 / $3,477.33	Facility		$1,354.33	$1,354.33	$3,477.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,354.33 / $1,881.10 / $3,477.33	Professional		$1,354.33	$1,881.10	$3,477.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,180.22 / $4,180.22 / $4,180.22	Facility		$4,180.22	$4,180.22	$4,180.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,172.63 / $2,199.78 / $4,823.20	Professional		$2,172.63	$2,199.78	$4,823.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,214.74 / $3,214.74 / $3,214.74	Facility		$3,214.74	$3,214.74	$3,214.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,732.53 / $2,732.53 / $3,311.18	Professional		$2,732.53	$2,732.53	$3,311.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2,324.57 / $3,344.18 / $5,434.29	Professional		$2,324.57	$3,344.18	$5,434.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,413.05 / $2,234.48 / $2,793.11	Professional		$1,413.05	$2,234.48	$2,793.11