Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,150.00 / $4,793.00 / $7,802.00	Facility		$2,150.00	$4,793.00	$7,802.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,872.04 / $1,924.58 / $7,028.00	Professional		$1,872.04	$1,924.58	$7,028.00
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 $1,727.43 / $2,123.59 / $3,056.23	Professional		$1,727.43	$2,123.59	$3,056.23
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 $1,281.92 / $1,871.24 / $2,808.05	Professional		$1,281.92	$1,871.24	$2,808.05
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $1,946.41 / $3,949.19	Professional		$16.23	$1,946.41	$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 $11.04 / $1,681.64 / $4,739.03	Professional		$11.04	$1,681.64	$4,739.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,305.00 / $4,794.00 / $11,445.00	Facility		$2,305.00	$4,794.00	$11,445.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,444.50 / $1,942.58 / $3,038.34	Professional		$1,444.50	$1,942.58	$3,038.34