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 $795.87 / $896.31 / $4,498.33	Professional		$795.87	$896.31	$4,498.33
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 $932.34 / $1,007.48 / $1,473.59	Professional		$932.34	$1,007.48	$1,473.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,674.91 / $4,674.91 / $4,674.91	Facility		$4,674.91	$4,674.91	$4,674.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $692.84 / $1,098.55 / $1,606.55	Professional		$692.84	$1,098.55	$1,606.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $1,009.13 / $5,378.18	Professional		$6.80	$1,009.13	$5,378.18
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 $5.09 / $849.43 / $7,333.88	Professional		$5.09	$849.43	$7,333.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,000.00 / $9,042.00	Facility		$1,642.00	$3,000.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $750.95 / $1,018.66 / $1,542.27	Professional		$750.95	$1,018.66	$1,542.27