Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.00 / $2,556.00 / $5,923.00	Facility		$1,375.00	$2,556.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,137.55 / $1,181.90 / $4,473.00	Professional		$1,137.55	$1,181.90	$4,473.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,829.00 / $7,046.00 / $13,100.00	Facility		$5,829.00	$7,046.00	$13,100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,062.36 / $1,285.10 / $1,849.50	Professional		$1,062.36	$1,285.10	$1,849.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $917.84 / $1,234.15 / $1,805.16	Professional		$917.84	$1,234.15	$1,805.16
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $1,194.70 / $3,199.20	Professional		$14.99	$1,194.70	$3,199.20
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,559.36 / $7,650.58 / $7,650.58	Facility		$2,559.36	$7,650.58	$7,650.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $1,027.92 / $3,839.04	Professional		$10.19	$1,027.92	$3,839.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,000.00 / $9,042.00	Facility		$1,642.00	$3,000.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,058.82 / $1,272.23 / $2,022.37	Professional		$1,058.82	$1,272.23	$2,022.37