Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.00 / $2,556.00 / $5,923.00	Facility		$1,375.00	$2,556.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $963.66 / $1,078.13 / $5,496.28	Professional		$963.66	$1,078.13	$5,496.28
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 $1,183.74 / $1,259.19 / $1,731.39	Professional		$1,183.74	$1,259.19	$1,731.39
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 $878.24 / $1,266.21 / $1,847.96	Professional		$878.24	$1,266.21	$1,847.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $1,203.45 / $4,244.76	Professional		$13.28	$1,203.45	$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 $9.96 / $1,025.13 / $5,788.31	Professional		$9.96	$1,025.13	$5,788.31
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 $940.23 / $1,259.33 / $1,910.80	Professional		$940.23	$1,259.33	$1,910.80