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 $1,314.09 / $1,348.22 / $4,473.00	Professional		$1,314.09	$1,348.22	$4,473.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,877.00 / $5,379.00 / $8,190.00	Facility		$3,877.00	$5,379.00	$8,190.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,183.69 / $1,436.51 / $2,157.27	Professional		$1,183.69	$1,436.51	$2,157.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,069.49 / $3,069.49 / $3,069.49	Facility		$3,069.49	$3,069.49	$3,069.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.15 / $1,248.43 / $1,971.14	Professional		$851.15	$1,248.43	$1,971.14
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $1,423.51 / $3,949.19	Professional		$13.85	$1,423.51	$3,949.19
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,159.35 / $6,537.87 / $6,537.87	Facility		$3,159.35	$6,537.87	$6,537.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $1,181.01 / $4,739.03	Professional		$9.42	$1,181.01	$4,739.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $3,000.00 / $7,138.00	Facility		$1,282.00	$3,000.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $946.39 / $1,339.26 / $2,094.69	Professional		$946.39	$1,339.26	$2,094.69