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 $919.55 / $993.48 / $5,420.33	Professional		$919.55	$993.48	$5,420.33
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 $1,129.91 / $1,230.55 / $1,727.78	Professional		$1,129.91	$1,230.55	$1,727.78
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 $839.78 / $1,289.00 / $1,892.05	Professional		$839.78	$1,289.00	$1,892.05
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $22.40 / $1,140.10 / $3,475.29	Professional		$22.40	$1,140.10	$3,475.29
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 $16.80 / $979.15 / $4,739.03	Professional		$16.80	$979.15	$4,739.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $3,685.00 / $10,407.00	Facility		$2,042.00	$3,685.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $905.20 / $1,208.33 / $1,853.26	Professional		$905.20	$1,208.33	$1,853.26