Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,236.00 / $2,472.00 / $4,730.00	Facility		$1,236.00	$2,472.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,140.02 / $1,380.81 / $3,399.67	Professional		$1,140.02	$1,380.81	$3,399.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $4,589.00 / $6,006.00	Facility		$3,671.00	$4,589.00	$6,006.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,083.92 / $1,295.23 / $2,131.13	Professional		$1,083.92	$1,295.23	$2,131.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,059.40 / $2,059.40 / $2,059.40	Facility		$2,059.40	$2,059.40	$2,059.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,061.65 / $1,471.37 / $2,474.01	Professional		$1,061.65	$1,471.37	$2,474.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $22.17 / $1,677.68 / $2,295.23	Professional		$22.17	$1,677.68	$2,295.23
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $4,046.03 / $4,046.03 / $4,046.03	Facility		$4,046.03	$4,046.03	$4,046.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $1,441.34 / $3,039.84	Professional		$11.40	$1,441.34	$3,039.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,000.00 / $9,042.00	Facility		$1,642.00	$3,000.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,325.16 / $1,573.87 / $2,747.46	Professional		$1,325.16	$1,573.87	$2,747.46