Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,754.32 / $2,556.00 / $5,923.00	Facility		$1,754.32	$2,556.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,497.60 / $1,690.29 / $3,959.00	Professional		$1,497.60	$1,690.29	$3,959.00
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 $1,848.95 / $1,986.68 / $2,764.11	Professional		$1,848.95	$1,986.68	$2,764.11
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 $1,383.37 / $1,983.93 / $2,894.63	Professional		$1,383.37	$1,983.93	$2,894.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $1,832.89 / $4,244.76	Professional		$20.32	$1,832.89	$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 $15.24 / $1,591.09 / $5,788.31	Professional		$15.24	$1,591.09	$5,788.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,754.32 / $4,776.00 / $11,845.00	Facility		$1,754.32	$4,776.00	$11,845.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,468.81 / $1,980.07 / $3,005.17	Professional		$1,468.81	$1,980.07	$3,005.17