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 $1,251.27 / $1,406.36 / $7,101.48	Professional		$1,251.27	$1,406.36	$7,101.48
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 $1,354.29 / $1,556.07 / $2,291.88	Professional		$1,354.29	$1,556.07	$2,291.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,661.51 / $1,661.51 / $1,661.51	Facility		$1,661.51	$1,661.51	$1,661.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $894.09 / $1,562.71 / $2,434.63	Professional		$894.09	$1,562.71	$2,434.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $1,545.81 / $2,233.53	Professional		$12.80	$1,545.81	$2,233.53
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 $9.60 / $1,333.53 / $2,576.36	Professional		$9.60	$1,333.53	$2,576.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,060.00 / $9,042.00	Facility		$1,642.00	$3,060.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,125.59 / $1,516.38 / $2,448.81	Professional		$1,125.59	$1,516.38	$2,448.81