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 $1,358.62 / $1,414.33 / $4,473.00	Professional		$1,358.62	$1,414.33	$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 $1,280.44 / $1,548.89 / $2,229.14	Professional		$1,280.44	$1,548.89	$2,229.14
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 $1,037.58 / $1,391.99 / $2,037.94	Professional		$1,037.58	$1,391.99	$2,037.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $1,502.49 / $3,949.19	Professional		$22.05	$1,502.49	$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 $15.00 / $1,236.21 / $4,739.03	Professional		$15.00	$1,236.21	$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 $977.03 / $1,468.74 / $2,466.36	Professional		$977.03	$1,468.74	$2,466.36