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 / $22,351.00	Facility		$2,150.00	$4,793.00	$22,351.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,036.66 / $1,102.85 / $5,962.50	Professional		$1,036.66	$1,102.85	$5,962.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,093.00 / $8,455.00 / $14,510.00	Facility		$6,093.00	$8,455.00	$14,510.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,278.88 / $1,376.03 / $1,905.72	Professional		$1,278.88	$1,376.03	$1,905.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,693.93 / $3,693.93 / $3,693.93	Facility		$3,693.93	$3,693.93	$3,693.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,002.16 / $1,445.00 / $2,060.29	Professional		$1,002.16	$1,445.00	$2,060.29
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $1,261.84 / $4,244.76	Professional		$11.04	$1,261.84	$4,244.76
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $7,895.11 / $7,895.11 / $7,895.11	Facility		$7,895.11	$7,895.11	$7,895.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $1,101.81 / $5,788.31	Professional		$8.27	$1,101.81	$5,788.31
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 $1,022.69 / $1,372.17 / $2,086.73	Professional		$1,022.69	$1,372.17	$2,086.73