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 $1,498.51 / $1,553.23 / $4,473.00	Professional		$1,498.51	$1,553.23	$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 $1,409.62 / $1,754.78 / $2,454.02	Professional		$1,409.62	$1,754.78	$2,454.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,208.52 / $1,609.67 / $2,436.39	Professional		$1,208.52	$1,609.67	$2,436.39
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $21.61 / $1,691.86 / $3,949.19	Professional		$21.61	$1,691.86	$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 $14.70 / $1,356.14 / $4,739.03	Professional		$14.70	$1,356.14	$4,739.03
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 $1,370.66 / $1,791.45 / $2,449.71	Professional		$1,370.66	$1,791.45	$2,449.71