Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.00 / $2,472.00 / $5,923.00	Facility		$1,375.00	$2,472.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.99 / $1,875.47 / $2,902.00	Professional		$158.99	$1,875.47	$2,902.00
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 $211.68 / $1,725.90 / $2,874.00	Professional		$211.68	$1,725.90	$2,874.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $2,314.28 / $2,722.69 / $3,025.21	Professional	50	$2,314.28	$2,722.69	$3,025.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,467.52 / $1,467.52 / $1,467.52	Facility		$1,467.52	$1,467.52	$1,467.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $1,728.08 / $2,705.01	Professional		$156.72	$1,728.08	$2,705.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $154.49 / $1,573.22 / $2,790.95	Professional		$154.49	$1,573.22	$2,790.95
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,594.83 / $5,974.27 / $5,974.27	Facility		$1,594.83	$5,974.27	$5,974.27
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $154.49 / $231.74 / $2,392.25	Professional		$154.49	$231.74	$2,392.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.00 / $5,468.00 / $11,845.00	Facility		$2,818.00	$5,468.00	$11,845.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,945.08 / $2,617.42 / $3,674.04	Professional		$1,945.08	$2,617.42	$3,674.04