Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,312.00 / $2,472.00 / $4,730.00	Facility		$1,312.00	$2,472.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.95 / $1,566.47 / $2,550.03	Professional		$335.95	$1,566.47	$2,550.03
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 $405.95 / $1,203.04 / $2,626.86	Professional		$405.95	$1,203.04	$2,626.86
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 $308.97 / $1,441.76 / $2,367.51	Professional		$308.97	$1,441.76	$2,367.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $1,337.95 / $2,377.75	Professional		$190.00	$1,337.95	$2,377.75
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 $296.01 / $444.02 / $2,112.56	Professional		$296.01	$444.02	$2,112.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,060.00 / $9,042.00	Facility		$1,642.00	$3,060.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,623.24 / $2,199.94 / $3,066.12	Professional		$1,623.24	$2,199.94	$3,066.12