Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,042.00 / $6,953.00	Facility		$1,642.00	$3,042.00	$6,953.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,063.47 / $1,196.30 / $6,091.69	Professional		$1,063.47	$1,196.30	$6,091.69
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 $1,312.61 / $1,469.71 / $1,937.60	Professional		$1,312.61	$1,469.71	$1,937.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,681.93 / $4,681.93 / $4,681.93	Facility		$4,681.93	$4,681.93	$4,681.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,089.38 / $1,594.14 / $2,239.41	Professional		$1,089.38	$1,594.14	$2,239.41
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $1,311.43 / $5,891.85	Professional		$15.84	$1,311.43	$5,891.85
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 $11.88 / $1,130.42 / $8,034.35	Professional		$11.88	$1,130.42	$8,034.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.00 / $4,776.00 / $11,845.00	Facility		$2,818.00	$4,776.00	$11,845.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,078.72 / $1,443.07 / $2,224.86	Professional		$1,078.72	$1,443.07	$2,224.86