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 $1,181.25 / $1,327.74 / $6,736.55	Professional		$1,181.25	$1,327.74	$6,736.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,556.00 / $9,098.00 / $15,073.00	Facility		$6,556.00	$9,098.00	$15,073.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,192.74 / $1,323.94 / $2,142.75	Professional		$1,192.74	$1,323.94	$2,142.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,833.41 / $9,833.41 / $9,833.41	Facility		$9,833.41	$9,833.41	$9,833.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,041.42 / $1,556.73 / $2,340.13	Professional		$1,041.42	$1,556.73	$2,340.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $1,427.26 / $10,198.79	Professional		$11.20	$1,427.26	$10,198.79
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $14,220.15 / $14,220.15 / $14,220.15	Facility		$14,220.15	$14,220.15	$14,220.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $1,257.08 / $13,907.45	Professional		$8.40	$1,257.08	$13,907.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.00 / $4,776.00 / $11,845.00	Facility		$2,818.00	$4,776.00	$11,845.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,112.99 / $1,460.36 / $2,337.30	Professional		$1,112.99	$1,460.36	$2,337.30