Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,567.94 / $3,459.00 / $7,674.00	Facility		$1,567.94	$3,459.00	$7,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,275.17 / $1,411.94 / $3,959.00	Professional		$1,275.17	$1,411.94	$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 $1,356.96 / $1,692.24 / $2,453.77	Professional		$1,356.96	$1,692.24	$2,453.77
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 $1,037.04 / $1,533.74 / $2,341.00	Professional		$1,037.04	$1,533.74	$2,341.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $1,645.14 / $3,159.35	Professional		$350.00	$1,645.14	$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 $1,033.83 / $1,165.15 / $2,193.17	Professional		$1,033.83	$1,165.15	$2,193.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $3,685.00 / $10,407.00	Facility		$2,042.00	$3,685.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,410.38 / $1,726.10 / $2,568.04	Professional		$1,410.38	$1,726.10	$2,568.04