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 $1,051.57 / $1,186.00 / $4,441.37	Professional		$1,051.57	$1,186.00	$4,441.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,351.00 / $8,859.00 / $15,073.00	Facility		$4,351.00	$8,859.00	$15,073.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,265.30 / $1,376.29 / $2,040.77	Professional		$1,265.30	$1,376.29	$2,040.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,920.54 / $8,920.54 / $8,920.54	Facility		$8,920.54	$8,920.54	$8,920.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,015.19 / $1,498.79 / $2,215.60	Professional		$1,015.19	$1,498.79	$2,215.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $27.28 / $1,391.16 / $11,410.52	Professional		$27.28	$1,391.16	$11,410.52
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 $20.46 / $1,189.96 / $15,559.80	Professional		$20.46	$1,189.96	$15,559.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,625.00 / $4,776.00 / $11,845.00	Facility		$2,625.00	$4,776.00	$11,845.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,094.91 / $1,443.93 / $2,225.16	Professional		$1,094.91	$1,443.93	$2,225.16