Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,150.00 / $3,459.00 / $7,674.00	Facility		$2,150.00	$3,459.00	$7,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,355.23 / $2,492.58 / $4,004.68	Professional		$2,355.23	$2,492.58	$4,004.68
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 $2,067.50 / $2,509.10 / $3,946.00	Professional		$2,067.50	$2,509.10	$3,946.00
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 $2,071.54 / $2,974.10 / $4,364.25	Professional		$2,071.54	$2,974.10	$4,364.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.21 / $16.23 / $200.00	Professional		$14.21	$16.23	$200.00
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 $12.18 / $12.18 / $12.18	Professional		$12.18	$12.18	$12.18
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 $2,184.38 / $2,867.86 / $4,857.32	Professional		$2,184.38	$2,867.86	$4,857.32