Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,516.85 / $1,516.85 / $3,894.62	Facility		$1,516.85	$1,516.85	$3,894.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,516.85 / $2,106.84 / $3,894.62	Professional		$1,516.85	$2,106.84	$3,894.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,681.85 / $4,681.85 / $4,681.85	Facility		$4,681.85	$4,681.85	$4,681.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,433.34 / $2,478.96 / $5,402.00	Professional		$2,433.34	$2,478.96	$5,402.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,600.52 / $3,600.52 / $3,600.52	Facility		$3,600.52	$3,600.52	$3,600.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,060.44 / $3,060.44 / $3,708.54	Professional		$3,060.44	$3,060.44	$3,708.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2,603.54 / $3,745.49 / $6,086.42	Professional		$2,603.54	$3,745.49	$6,086.42
United Facility/Professional Professional Modifier Low / Median / High Price $1,582.62 / $2,021.25 / $3,128.29	Professional		$1,582.62	$2,021.25	$3,128.29