Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,150.00 / $4,793.00 / $7,802.00	Facility		$2,150.00	$4,793.00	$7,802.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.37 / $1,064.73 / $3,694.35	Professional		$863.37	$1,064.73	$3,694.35
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 $991.46 / $1,142.83 / $1,489.00	Professional		$991.46	$1,142.83	$1,489.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,069.49 / $3,069.49 / $3,069.49	Facility		$3,069.49	$3,069.49	$3,069.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $727.85 / $1,116.47 / $1,647.73	Professional		$727.85	$1,116.47	$1,647.73
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $1,098.83 / $3,475.29	Professional		$12.80	$1,098.83	$3,475.29
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $6,537.87 / $6,537.87 / $6,537.87	Facility		$6,537.87	$6,537.87	$6,537.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $976.36 / $4,739.03	Professional		$9.60	$976.36	$4,739.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $4,794.00 / $10,407.00	Facility		$2,042.00	$4,794.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $836.57 / $1,050.43 / $1,841.50	Professional		$836.57	$1,050.43	$1,841.50