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 $1,087.74 / $1,252.20 / $1,446.10	Professional		$1,087.74	$1,252.20	$1,446.10
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 $1,159.70 / $1,425.66 / $2,051.78	Professional		$1,159.70	$1,425.66	$2,051.78
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 $948.61 / $1,279.00 / $1,878.30	Professional		$948.61	$1,279.00	$1,878.30
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.88 / $1,359.29 / $3,949.19	Professional		$15.88	$1,359.29	$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 $10.80 / $1,131.29 / $4,739.03	Professional		$10.80	$1,131.29	$4,739.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $4,145.00 / $10,407.00	Facility		$2,042.00	$4,145.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $955.81 / $1,319.38 / $1,990.99	Professional		$955.81	$1,319.38	$1,990.99