Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.00 / $2,556.00 / $5,923.00	Facility		$1,375.00	$2,556.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,141.68 / $1,149.04 / $5,716.49	Professional		$1,141.68	$1,149.04	$5,716.49
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 $1,061.71 / $1,258.13 / $1,594.50	Professional		$1,061.71	$1,258.13	$1,594.50
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 $850.16 / $1,198.76 / $1,818.89	Professional		$850.16	$1,198.76	$1,818.89
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $1,228.24 / $3,475.29	Professional		$20.00	$1,228.24	$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 $15.00 / $1,041.80 / $4,739.03	Professional		$15.00	$1,041.80	$4,739.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $3,569.00 / $10,407.00	Facility		$2,042.00	$3,569.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.64 / $1,140.71 / $1,981.99	Professional		$1,000.64	$1,140.71	$1,981.99