Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,055.51 / $1,055.51 / $2,710.10	Facility		$1,055.51	$1,055.51	$2,710.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,055.51 / $1,466.06 / $2,710.10	Professional		$1,055.51	$1,466.06	$2,710.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,257.91 / $3,257.91 / $3,257.91	Facility		$3,257.91	$3,257.91	$3,257.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,772.69 / $1,790.67 / $3,935.35	Professional		$1,772.69	$1,790.67	$3,935.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,253.75 / $2,253.75 / $2,398.40	Facility		$2,253.75	$2,253.75	$2,398.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,915.69 / $1,915.69 / $2,321.36	Professional		$1,915.69	$1,915.69	$2,321.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,811.69 / $2,606.33 / $4,235.28	Professional		$1,811.69	$2,606.33	$4,235.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,152.94 / $1,472.48 / $2,269.04	Professional		$1,152.94	$1,472.48	$2,269.04