Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.00 / $3,509.00 / $7,674.00	Facility		$1,862.00	$3,509.00	$7,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,324.97 / $1,553.76 / $6,253.00	Professional		$1,324.97	$1,553.76	$6,253.00
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 $1,394.60 / $1,692.47 / $2,477.21	Professional		$1,394.60	$1,692.47	$2,477.21
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 $1,090.97 / $1,479.98 / $2,268.88	Professional		$1,090.97	$1,479.98	$2,268.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $1,743.87 / $3,949.19	Professional		$19.05	$1,743.87	$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 $12.96 / $1,359.54 / $4,739.03	Professional		$12.96	$1,359.54	$4,739.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $4,145.00 / $10,407.00	Facility		$2,042.00	$4,145.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,146.08 / $1,552.49 / $2,431.40	Professional		$1,146.08	$1,552.49	$2,431.40