Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $4,793.00 / $10,300.00	Facility		$1,950.00	$4,793.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $857.75 / $1,098.33 / $4,979.00	Professional		$857.75	$1,098.33	$4,979.00
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 $993.15 / $1,094.68 / $1,505.19	Professional		$993.15	$1,094.68	$1,505.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,443.18 / $4,443.18 / $4,443.18	Facility		$4,443.18	$4,443.18	$4,443.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $866.22 / $1,340.96 / $1,910.93	Professional		$866.22	$1,340.96	$1,910.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $1,276.75 / $4,387.03	Professional		$16.76	$1,276.75	$4,387.03
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 $11.40 / $1,173.51 / $6,926.90	Professional		$11.40	$1,173.51	$6,926.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $4,711.00 / $10,407.00	Facility		$2,042.00	$4,711.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.87 / $1,317.31 / $2,442.44	Professional		$1,000.87	$1,317.31	$2,442.44