Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,091.45 / $4,396.00 / $10,300.00	Facility		$1,091.45	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,081.06 / $1,091.45 / $4,867.05	Professional		$1,081.06	$1,091.45	$4,867.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $4,589.00 / $6,006.00	Facility		$3,671.00	$4,589.00	$6,006.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $941.85 / $1,340.38 / $1,824.73	Professional		$941.85	$1,340.38	$1,824.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.30 / $1,186.72 / $1,803.34	Professional		$864.30	$1,186.72	$1,803.34
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $1,192.76 / $2,204.10	Professional		$17.64	$1,192.76	$2,204.10
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,695.46 / $3,478.55 / $3,478.55	Facility		$1,695.46	$3,478.55	$3,478.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $894.63 / $2,543.19	Professional		$12.00	$894.63	$2,543.19
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 $1,007.64 / $1,321.03 / $1,720.67	Professional		$1,007.64	$1,321.03	$1,720.67