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 $1,068.77 / $1,101.83 / $4,473.00	Professional		$1,068.77	$1,101.83	$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 $990.99 / $1,218.25 / $1,753.29	Professional		$990.99	$1,218.25	$1,753.29
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 $776.93 / $1,107.72 / $1,603.15	Professional		$776.93	$1,107.72	$1,603.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $1,161.45 / $3,949.19	Professional		$16.85	$1,161.45	$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 $11.46 / $962.84 / $4,739.03	Professional		$11.46	$962.84	$4,739.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $3,685.00 / $10,407.00	Facility		$2,042.00	$3,685.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $839.31 / $1,106.00 / $1,741.96	Professional		$839.31	$1,106.00	$1,741.96