Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,042.00 / $6,953.00	Facility		$1,642.00	$3,042.00	$6,953.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,029.16 / $1,123.98 / $6,059.76	Professional		$1,029.16	$1,123.98	$6,059.76
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 $873.36 / $1,059.90 / $1,710.50	Professional		$873.36	$1,059.90	$1,710.50
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 $825.18 / $1,278.96 / $1,891.63	Professional		$825.18	$1,278.96	$1,891.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $1,235.52 / $2,229.21	Professional		$10.40	$1,235.52	$2,229.21
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 $7.80 / $1,118.83 / $3,039.84	Professional		$7.80	$1,118.83	$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 $921.54 / $1,166.24 / $2,092.88	Professional		$921.54	$1,166.24	$2,092.88