Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,411.68 / $2,472.00 / $5,923.00	Facility		$1,411.68	$2,472.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.79 / $1,200.48 / $2,075.35	Professional		$383.79	$1,200.48	$2,075.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,886.00 / $6,164.00 / $9,964.00	Facility		$4,886.00	$6,164.00	$9,964.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $452.95 / $1,203.68 / $1,932.72	Professional		$452.95	$1,203.68	$1,932.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,671.54 / $1,671.54 / $1,671.54	Facility		$1,671.54	$1,671.54	$1,671.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.03 / $1,131.11 / $2,036.08	Professional		$341.03	$1,131.11	$2,036.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $1,290.95 / $2,256.33	Professional		$190.00	$1,290.95	$2,256.33
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 $355.48 / $533.22 / $2,004.68	Professional		$355.48	$533.22	$2,004.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,644.00 / $9,500.00	Facility		$1,642.00	$3,644.00	$9,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,220.01 / $1,497.19 / $2,358.09	Professional		$1,220.01	$1,497.19	$2,358.09