Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,922.60 / $3,042.00 / $6,953.00	Facility		$1,922.60	$3,042.00	$6,953.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,831.05 / $1,917.11 / $3,959.00	Professional		$1,831.05	$1,917.11	$3,959.00
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 $1,715.92 / $2,350.37 / $3,167.16	Professional		$1,715.92	$2,350.37	$3,167.16
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 $1,367.93 / $1,772.58 / $2,746.58	Professional		$1,367.93	$1,772.58	$2,746.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $1,965.82 / $3,949.19	Professional		$21.79	$1,965.82	$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 $14.82 / $1,670.59 / $4,739.03	Professional		$14.82	$1,670.59	$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 $1,717.81 / $2,246.88 / $3,075.35	Professional		$1,717.81	$2,246.88	$3,075.35