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 $1,432.75 / $1,470.57 / $3,906.00	Professional		$1,432.75	$1,470.57	$3,906.00
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 $1,327.43 / $1,631.86 / $2,348.53	Professional		$1,327.43	$1,631.86	$2,348.53
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 $963.11 / $1,432.75 / $2,149.12	Professional		$963.11	$1,432.75	$2,149.12
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.70 / $1,535.03 / $3,949.19	Professional		$12.70	$1,535.03	$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 $8.64 / $1,287.28 / $4,739.03	Professional		$8.64	$1,287.28	$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 $1,033.88 / $1,493.53 / $2,558.84	Professional		$1,033.88	$1,493.53	$2,558.84