Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.00 / $3,509.00 / $7,674.00	Facility		$1,862.00	$3,509.00	$7,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,210.66 / $1,315.89 / $7,347.29	Professional		$1,210.66	$1,315.89	$7,347.29
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 $1,450.10 / $1,601.10 / $2,205.37	Professional		$1,450.10	$1,601.10	$2,205.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,113.45 / $4,113.45 / $4,113.45	Facility		$4,113.45	$4,113.45	$4,113.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,131.13 / $1,689.85 / $2,325.00	Professional		$1,131.13	$1,689.85	$2,325.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $1,500.82 / $4,655.27	Professional		$28.80	$1,500.82	$4,655.27
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 $21.60 / $1,289.15 / $6,348.09	Professional		$21.60	$1,289.15	$6,348.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $4,794.00 / $11,445.00	Facility		$2,042.00	$4,794.00	$11,445.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,191.81 / $1,587.48 / $2,448.71	Professional		$1,191.81	$1,587.48	$2,448.71