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 $1,388.71 / $1,402.06 / $6,249.45	Professional		$1,388.71	$1,402.06	$6,249.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,452.00 / $5,379.00 / $8,190.00	Facility		$4,452.00	$5,379.00	$8,190.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,208.53 / $1,684.69 / $2,251.92	Professional		$1,208.53	$1,684.69	$2,251.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,066.25 / $1,497.74 / $2,308.92	Professional		$1,066.25	$1,497.74	$2,308.92
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $1,475.31 / $4,326.72	Professional		$24.70	$1,475.31	$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 $16.80 / $1,145.54 / $4,992.38	Professional		$16.80	$1,145.54	$4,992.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.00 / $4,776.00 / $11,845.00	Facility		$2,818.00	$4,776.00	$11,845.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,268.40 / $1,610.11 / $2,387.17	Professional		$1,268.40	$1,610.11	$2,387.17