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 $1,023.61 / $1,153.47 / $5,866.09	Professional		$1,023.61	$1,153.47	$5,866.09
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 $1,264.08 / $1,346.12 / $1,848.92	Professional		$1,264.08	$1,346.12	$1,848.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,192.08 / $2,192.08 / $2,192.08	Facility		$2,192.08	$2,192.08	$2,192.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,048.21 / $1,547.85 / $2,127.94	Professional		$1,048.21	$1,547.85	$2,127.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $1,260.54 / $2,491.60	Professional		$15.20	$1,260.54	$2,491.60
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 $11.40 / $1,088.00 / $3,397.64	Professional		$11.40	$1,088.00	$3,397.64
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 $996.30 / $1,391.48 / $2,207.96	Professional		$996.30	$1,391.48	$2,207.96