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 $1,290.20 / $1,398.96 / $7,634.54	Professional		$1,290.20	$1,398.96	$7,634.54
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 $1,593.48 / $1,695.05 / $2,436.63	Professional		$1,593.48	$1,695.05	$2,436.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,069.49 / $3,069.49 / $3,069.49	Facility		$3,069.49	$3,069.49	$3,069.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,160.28 / $1,750.59 / $2,530.00	Professional		$1,160.28	$1,750.59	$2,530.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $33.76 / $1,578.25 / $4,403.22	Professional		$33.76	$1,578.25	$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 $25.32 / $1,372.53 / $6,004.40	Professional		$25.32	$1,372.53	$6,004.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $4,794.00 / $10,407.00	Facility		$2,042.00	$4,794.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,265.08 / $1,672.71 / $2,598.19	Professional		$1,265.08	$1,672.71	$2,598.19