Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,449.95 / $2,173.00 / $4,841.00	Facility		$1,449.95	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.33 / $1,174.33 / $4,841.00	Professional		$1,174.33	$1,174.33	$4,841.00
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 $1,119.97 / $1,354.78 / $1,949.77	Professional		$1,119.97	$1,354.78	$1,949.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,653.10 / $2,653.10 / $2,653.10	Facility		$2,653.10	$2,653.10	$2,653.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $959.77 / $1,302.22 / $1,928.92	Professional		$959.77	$1,302.22	$1,928.92
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $16.67 / $1,323.00 / $3,562.89	Professional		$16.67	$1,323.00	$3,562.89
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,850.31 / $5,618.32 / $5,618.32	Facility		$2,850.31	$5,618.32	$5,618.32
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $1,102.71 / $4,275.47	Professional		$11.34	$1,102.71	$4,275.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $2,661.00 / $9,042.00	Facility		$1,642.00	$2,661.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,166.21 / $1,395.04 / $2,032.48	Professional		$1,166.21	$1,395.04	$2,032.48