Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,493.06 / $2,556.00 / $5,923.00	Facility		$1,493.06	$2,556.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,254.01 / $1,419.47 / $7,233.55	Professional		$1,254.01	$1,419.47	$7,233.55
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 $1,552.80 / $1,670.60 / $2,318.50	Professional		$1,552.80	$1,670.60	$2,318.50
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 $1,221.58 / $1,762.91 / $2,538.21	Professional		$1,221.58	$1,762.91	$2,538.21
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $1,548.18 / $4,244.76	Professional		$9.60	$1,548.18	$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 $7.20 / $1,336.09 / $5,788.31	Professional		$7.20	$1,336.09	$5,788.31
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 $1,229.15 / $1,644.68 / $2,495.50	Professional		$1,229.15	$1,644.68	$2,495.50