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 $1,032.23 / $1,080.20 / $6,180.88	Professional		$1,032.23	$1,080.20	$6,180.88
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 $1,276.31 / $1,366.84 / $1,879.41	Professional		$1,276.31	$1,366.84	$1,879.41
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 $949.61 / $1,426.36 / $2,136.54	Professional		$949.61	$1,426.36	$2,136.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $1,288.63 / $1,889.33	Professional		$13.76	$1,288.63	$1,889.33
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 $10.32 / $1,099.07 / $2,576.36	Professional		$10.32	$1,099.07	$2,576.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,232.00 / $9,042.00	Facility		$1,642.00	$3,232.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $990.60 / $1,340.64 / $2,080.32	Professional		$990.60	$1,340.64	$2,080.32