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 $1,190.66 / $1,236.19 / $4,473.00	Professional		$1,190.66	$1,236.19	$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 $1,112.59 / $1,353.57 / $1,948.03	Professional		$1,112.59	$1,353.57	$1,948.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,358.68 / $4,358.68 / $4,358.68	Facility		$4,358.68	$4,358.68	$4,358.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $916.35 / $1,253.51 / $1,785.99	Professional		$916.35	$1,253.51	$1,785.99
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.88 / $1,286.48 / $5,605.06	Professional		$15.88	$1,286.48	$5,605.06
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $4,484.05 / $6,537.87 / $6,537.87	Facility		$4,484.05	$6,537.87	$6,537.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $1,078.73 / $6,726.08	Professional		$10.80	$1,078.73	$6,726.08
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 $942.51 / $1,268.95 / $1,906.82	Professional		$942.51	$1,268.95	$1,906.82