Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.00 / $3,939.00 / $22,351.00	Facility		$1,862.00	$3,939.00	$22,351.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,019.75 / $1,123.60 / $5,841.94	Professional		$1,019.75	$1,123.60	$5,841.94
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 $1,259.54 / $1,345.46 / $1,853.56	Professional		$1,259.54	$1,345.46	$1,853.56
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 $937.58 / $1,417.00 / $2,029.53	Professional		$937.58	$1,417.00	$2,029.53
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $1,257.83 / $4,244.76	Professional		$15.20	$1,257.83	$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 $11.40 / $1,084.00 / $5,788.31	Professional		$11.40	$1,084.00	$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 $1,002.23 / $1,293.20 / $2,007.99	Professional		$1,002.23	$1,293.20	$2,007.99