Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,452.10 / $4,396.00 / $10,300.00	Facility		$1,452.10	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,237.78 / $1,383.36 / $7,344.25	Professional		$1,237.78	$1,383.36	$7,344.25
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 $1,462.80 / $1,543.45 / $2,257.51	Professional		$1,462.80	$1,543.45	$2,257.51
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 $1,024.10 / $1,610.91 / $2,395.96	Professional		$1,024.10	$1,610.91	$2,395.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $31.20 / $1,481.29 / $3,475.29	Professional		$31.20	$1,481.29	$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 $23.40 / $1,318.12 / $4,739.03	Professional		$23.40	$1,318.12	$4,739.03
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 $1,098.56 / $1,445.89 / $2,273.02	Professional		$1,098.56	$1,445.89	$2,273.02