Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.03 / $3,042.00 / $6,953.00	Facility		$1,733.03	$3,042.00	$6,953.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,481.31 / $1,651.51 / $8,637.31	Professional		$1,481.31	$1,651.51	$8,637.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,877.00 / $5,379.00 / $8,190.00	Facility		$3,877.00	$5,379.00	$8,190.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,844.02 / $1,978.33 / $2,819.75	Professional		$1,844.02	$1,978.33	$2,819.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,890.47 / $3,890.47 / $3,890.47	Facility		$3,890.47	$3,890.47	$3,890.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,294.80 / $2,079.85 / $3,059.08	Professional		$1,294.80	$2,079.85	$3,059.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $35.20 / $1,743.83 / $4,403.22	Professional		$35.20	$1,743.83	$4,403.22
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $6,537.87 / $6,537.87 / $6,537.87	Facility		$6,537.87	$6,537.87	$6,537.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $1,573.87 / $6,004.40	Professional		$26.40	$1,573.87	$6,004.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $4,145.00 / $10,407.00	Facility		$2,042.00	$4,145.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,464.46 / $1,986.60 / $2,979.98	Professional		$1,464.46	$1,986.60	$2,979.98