Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,317.26 / $2,173.00 / $4,841.00	Facility		$1,317.26	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,099.16 / $1,198.70 / $6,031.93	Professional		$1,099.16	$1,198.70	$6,031.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $4,589.00 / $6,006.00	Facility		$3,671.00	$4,589.00	$6,006.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.10 / $1,358.47 / $1,986.96	Professional		$1,174.10	$1,358.47	$1,986.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,661.51 / $1,661.51 / $1,661.51	Facility		$1,661.51	$1,661.51	$1,661.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $894.00 / $1,386.76 / $2,173.46	Professional		$894.00	$1,386.76	$2,173.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $1,417.36 / $2,126.03	Professional		$17.60	$1,417.36	$2,126.03
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,585.88 / $3,585.88 / $3,585.88	Facility		$3,585.88	$3,585.88	$3,585.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $1,181.13 / $2,576.36	Professional		$13.20	$1,181.13	$2,576.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,000.00 / $9,042.00	Facility		$1,642.00	$3,000.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $982.30 / $1,276.50 / $2,043.29	Professional		$982.30	$1,276.50	$2,043.29