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 $1,051.81 / $1,258.47 / $3,434.52	Professional		$1,051.81	$1,258.47	$3,434.52
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 $1,170.91 / $1,387.54 / $1,758.50	Professional		$1,170.91	$1,387.54	$1,758.50
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 $919.10 / $1,321.39 / $2,006.46	Professional		$919.10	$1,321.39	$2,006.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $1,257.84 / $3,475.29	Professional		$19.20	$1,257.84	$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 $14.40 / $1,149.59 / $4,739.03	Professional		$14.40	$1,149.59	$4,739.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $4,145.00 / $10,407.00	Facility		$2,042.00	$4,145.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $994.11 / $1,249.42 / $2,181.08	Professional		$994.11	$1,249.42	$2,181.08