Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,150.00 / $3,959.00 / $12,437.00	Facility		$2,150.00	$3,959.00	$12,437.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,113.25 / $1,391.18 / $2,087.94	Professional		$1,113.25	$1,391.18	$2,087.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,373.00 / $13,158.00 / $21,461.17	Facility		$9,373.00	$13,158.00	$21,461.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,166.96 / $1,437.56 / $2,332.48	Professional		$1,166.96	$1,437.56	$2,332.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,885.00 / $13,438.00 / $13,853.00	Facility		$10,885.00	$13,438.00	$13,853.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $935.98 / $1,438.79 / $2,247.03	Professional		$935.98	$1,438.79	$2,247.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $1,351.95 / $1,984.78	Professional		$17.76	$1,351.95	$1,984.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $13.32 / $1,175.60 / $1,763.42	Professional		$13.32	$1,175.60	$1,763.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,097.00 / $8,000.00 / $25,771.00	Facility		$1,097.00	$8,000.00	$25,771.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,105.42 / $1,491.20 / $2,646.88	Professional		$1,105.42	$1,491.20	$2,646.88