Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.00 / $3,509.00 / $7,674.00	Facility		$1,862.00	$3,509.00	$7,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,574.15 / $1,649.46 / $4,473.00	Professional		$1,574.15	$1,649.46	$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 $1,476.87 / $2,022.94 / $2,962.80	Professional		$1,476.87	$2,022.94	$2,962.80
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 $1,167.31 / $1,512.12 / $2,361.21	Professional		$1,167.31	$1,512.12	$2,361.21
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $18.61 / $1,705.55 / $3,949.19	Professional		$18.61	$1,705.55	$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 $12.66 / $1,438.34 / $4,739.03	Professional		$12.66	$1,438.34	$4,739.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $4,794.00 / $10,407.00	Facility		$2,042.00	$4,794.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,471.75 / $1,892.26 / $2,622.64	Professional		$1,471.75	$1,892.26	$2,622.64