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 $1,398.99 / $1,576.74 / $7,972.48	Professional		$1,398.99	$1,576.74	$7,972.48
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 $1,615.57 / $1,722.60 / $2,562.42	Professional		$1,615.57	$1,722.60	$2,562.42
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 $1,262.92 / $1,788.63 / $2,687.00	Professional		$1,262.92	$1,788.63	$2,687.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $1,667.83 / $2,467.08	Professional		$16.00	$1,667.83	$2,467.08
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 $12.00 / $1,489.82 / $2,576.36	Professional		$12.00	$1,489.82	$2,576.36
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,244.00	Facility		$721.00	$2,200.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,264.00 / $1,619.86 / $2,758.14	Professional		$1,264.00	$1,619.86	$2,758.14