Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,921.90 / $2,173.00 / $4,841.00	Facility		$1,921.90	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,830.38 / $1,901.84 / $4,473.00	Professional		$1,830.38	$1,901.84	$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 $1,728.90 / $2,091.37 / $3,009.86	Professional		$1,728.90	$2,091.37	$3,009.86
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 $1,469.59 / $1,919.00 / $2,745.57	Professional		$1,469.59	$1,919.00	$2,745.57
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $2,055.16 / $3,949.19	Professional		$22.05	$2,055.16	$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 / $1,664.40 / $4,739.03	Professional		$15.00	$1,664.40	$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 $1,536.42 / $1,951.16 / $3,000.53	Professional		$1,536.42	$1,951.16	$3,000.53