Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,042.00 / $6,953.00	Facility		$1,642.00	$3,042.00	$6,953.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,159.97 / $1,198.79 / $4,473.00	Professional		$1,159.97	$1,198.79	$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 $1,075.18 / $1,321.75 / $1,902.24	Professional		$1,075.18	$1,321.75	$1,902.24
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 $868.59 / $1,150.69 / $1,739.95	Professional		$868.59	$1,150.69	$1,739.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.55 / $1,265.50 / $3,949.19	Professional		$14.55	$1,265.50	$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 $9.90 / $1,047.48 / $4,739.03	Professional		$9.90	$1,047.48	$4,739.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $3,472.00 / $10,407.00	Facility		$2,042.00	$3,472.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $875.63 / $1,215.65 / $1,843.93	Professional		$875.63	$1,215.65	$1,843.93