Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.00 / $3,509.00 / $7,674.00	Facility		$1,862.00	$3,509.00	$7,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $877.73 / $981.90 / $5,000.57	Professional		$877.73	$981.90	$5,000.57
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 $1,077.98 / $1,170.03 / $1,584.04	Professional		$1,077.98	$1,170.03	$1,584.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,031.56 / $5,031.56 / $5,031.56	Facility		$5,031.56	$5,031.56	$5,031.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $878.86 / $1,274.24 / $1,796.25	Professional		$878.86	$1,274.24	$1,796.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $1,100.79 / $5,533.91	Professional		$20.64	$1,100.79	$5,533.91
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 $15.48 / $933.96 / $7,546.25	Professional		$15.48	$933.96	$7,546.25
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 $872.76 / $1,160.40 / $1,736.33	Professional		$872.76	$1,160.40	$1,736.33