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 $1,287.21 / $1,329.70 / $4,473.00	Professional		$1,287.21	$1,329.70	$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 $1,191.48 / $1,464.72 / $2,108.00	Professional		$1,191.48	$1,464.72	$2,108.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,890.47 / $3,890.47 / $3,890.47	Facility		$3,890.47	$3,890.47	$3,890.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $981.72 / $1,320.00 / $1,930.81	Professional		$981.72	$1,320.00	$1,930.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $21.17 / $1,410.20 / $5,003.66	Professional		$21.17	$1,410.20	$5,003.66
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $4,002.93 / $6,537.87 / $6,537.87	Facility		$4,002.93	$6,537.87	$6,537.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $1,161.06 / $6,004.40	Professional		$14.40	$1,161.06	$6,004.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $3,569.00 / $10,407.00	Facility		$2,042.00	$3,569.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,033.58 / $1,349.01 / $2,112.39	Professional		$1,033.58	$1,349.01	$2,112.39