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 $1,147.81 / $1,177.05 / $4,473.00	Professional		$1,147.81	$1,177.05	$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 $1,043.41 / $1,266.27 / $1,889.49	Professional		$1,043.41	$1,266.27	$1,889.49
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 $452.32 / $1,095.59 / $1,721.71	Professional		$452.32	$1,095.59	$1,721.71
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.62 / $1,267.18 / $3,949.19	Professional		$6.62	$1,267.18	$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 $4.50 / $1,032.32 / $4,739.03	Professional		$4.50	$1,032.32	$4,739.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,940.00 / $7,138.00	Facility		$1,282.00	$2,940.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $765.64 / $1,189.19 / $2,062.64	Professional		$765.64	$1,189.19	$2,062.64