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 $1,326.02 / $1,370.86 / $3,959.00	Professional		$1,326.02	$1,370.86	$3,959.00
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 $1,247.15 / $1,541.03 / $2,171.17	Professional		$1,247.15	$1,541.03	$2,171.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,997.19 / $3,997.19 / $3,997.19	Facility		$3,997.19	$3,997.19	$3,997.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.53 / $1,403.37 / $2,003.89	Professional		$1,071.53	$1,403.37	$2,003.89
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $21.17 / $1,728.79 / $5,140.74	Professional		$21.17	$1,728.79	$5,140.74
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $4,112.59 / $6,537.87 / $6,537.87	Facility		$4,112.59	$6,537.87	$6,537.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $1,196.79 / $6,168.89	Professional		$14.40	$1,196.79	$6,168.89
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 $1,114.76 / $1,419.83 / $2,112.38	Professional		$1,114.76	$1,419.83	$2,112.38