Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,590.09 / $3,459.00 / $7,674.00	Facility		$1,590.09	$3,459.00	$7,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,244.36 / $1,393.71 / $3,959.00	Professional		$1,244.36	$1,393.71	$3,959.00
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 $1,295.53 / $1,586.98 / $2,334.44	Professional		$1,295.53	$1,586.98	$2,334.44
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 $945.96 / $1,409.40 / $2,270.69	Professional		$945.96	$1,409.40	$2,270.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $1,605.69 / $3,159.35	Professional		$350.00	$1,605.69	$3,159.35
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,159.35 / $6,537.87 / $6,537.87	Facility		$3,159.35	$6,537.87	$6,537.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,042.99 / $1,140.84 / $2,408.54	Professional		$1,042.99	$1,140.84	$2,408.54
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 $1,278.14 / $1,668.68 / $2,705.23	Professional		$1,278.14	$1,668.68	$2,705.23