Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,776.81 / $2,556.00 / $5,923.00	Facility		$1,776.81	$2,556.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,515.93 / $1,712.94 / $3,850.44	Professional		$1,515.93	$1,712.94	$3,850.44
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 $1,872.45 / $2,017.98 / $2,753.67	Professional		$1,872.45	$2,017.98	$2,753.67
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 $1,401.52 / $2,043.33 / $2,931.74	Professional		$1,401.52	$2,043.33	$2,931.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $21.44 / $1,854.95 / $4,244.76	Professional		$21.44	$1,854.95	$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 $16.07 / $1,610.52 / $5,788.31	Professional		$16.07	$1,610.52	$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 $1,498.53 / $1,991.76 / $3,088.32	Professional		$1,498.53	$1,991.76	$3,088.32