Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,448.85 / $2,556.00 / $5,923.00	Facility		$1,448.85	$2,556.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,295.10 / $1,380.79 / $6,902.68	Professional		$1,295.10	$1,380.79	$6,902.68
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 $1,266.66 / $1,515.78 / $2,224.50	Professional		$1,266.66	$1,515.78	$2,224.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,264.58 / $1,264.58 / $1,264.58	Facility		$1,264.58	$1,264.58	$1,264.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $991.22 / $1,557.44 / $2,390.60	Professional		$991.22	$1,557.44	$2,390.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $1,355.92 / $2,176.91	Professional		$12.00	$1,355.92	$2,176.91
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,163.08 / $3,163.08 / $3,163.08	Facility		$3,163.08	$3,163.08	$3,163.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $1,375.81 / $1,955.31	Professional		$9.00	$1,375.81	$1,955.31
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,578.00 / $6,244.00	Facility		$721.00	$2,578.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $910.29 / $1,353.81 / $2,331.29	Professional		$910.29	$1,353.81	$2,331.29