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 $1,461.51 / $1,475.57 / $6,424.80	Professional		$1,461.51	$1,475.57	$6,424.80
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 $1,142.73 / $1,527.50 / $2,066.92	Professional		$1,142.73	$1,527.50	$2,066.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,166.50 / $3,166.50 / $3,166.50	Facility		$3,166.50	$3,166.50	$3,166.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $888.93 / $1,186.00 / $2,037.69	Professional		$888.93	$1,186.00	$2,037.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $1,540.00 / $4,326.72	Professional		$19.39	$1,540.00	$4,326.72
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,328.25 / $5,974.27 / $5,974.27	Facility		$3,328.25	$5,974.27	$5,974.27
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $1,233.65 / $4,992.38	Professional		$13.20	$1,233.65	$4,992.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,371.00 / $4,661.00 / $11,445.00	Facility		$2,371.00	$4,661.00	$11,445.00
United Facility/Professional Professional Modifier Low / Median / High Price $954.53 / $1,442.21 / $2,164.48	Professional		$954.53	$1,442.21	$2,164.48