Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,210.00 / $2,173.00 / $4,841.00	Facility		$1,210.00	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,068.42 / $1,121.83 / $4,473.00	Professional		$1,068.42	$1,121.83	$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 $1,006.78 / $1,217.84 / $1,752.71	Professional		$1,006.78	$1,217.84	$1,752.71
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 $851.92 / $1,122.40 / $1,602.63	Professional		$851.92	$1,122.40	$1,602.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $1,228.66 / $3,949.19	Professional		$17.64	$1,228.66	$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 $12.00 / $981.97 / $4,739.03	Professional		$12.00	$981.97	$4,739.03
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 $909.01 / $1,154.15 / $1,830.07	Professional		$909.01	$1,154.15	$1,830.07