Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,150.00 / $4,793.00 / $7,802.00	Facility		$2,150.00	$4,793.00	$7,802.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,447.46 / $1,617.35 / $8,591.54	Professional		$1,447.46	$1,617.35	$8,591.54
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 $1,640.10 / $1,918.82 / $2,642.97	Professional		$1,640.10	$1,918.82	$2,642.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,159.54 / $5,159.54 / $5,159.54	Facility		$5,159.54	$5,159.54	$5,159.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,314.77 / $1,972.34 / $2,799.27	Professional		$1,314.77	$1,972.34	$2,799.27
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $31.20 / $1,807.64 / $5,837.65	Professional		$31.20	$1,807.64	$5,837.65
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 / $1,541.64 / $7,960.43	Professional		$23.40	$1,541.64	$7,960.43
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 $1,403.59 / $1,854.52 / $2,860.63	Professional		$1,403.59	$1,854.52	$2,860.63