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 $1,036.18 / $1,036.18 / $5,243.69	Professional		$1,036.18	$1,036.18	$5,243.69
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 $968.49 / $1,171.54 / $1,686.05	Professional		$968.49	$1,171.54	$1,686.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,028.96 / $5,028.96 / $5,028.96	Facility		$5,028.96	$5,028.96	$5,028.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $856.12 / $1,155.63 / $1,704.91	Professional		$856.12	$1,155.63	$1,704.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.88 / $1,163.50 / $6,520.76	Professional		$15.88	$1,163.50	$6,520.76
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $5,216.60 / $10,219.77 / $10,219.77	Facility		$5,216.60	$10,219.77	$10,219.77
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $952.98 / $7,824.92	Professional		$10.80	$952.98	$7,824.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,000.00 / $9,042.00	Facility		$1,642.00	$3,000.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $992.61 / $1,235.74 / $1,812.52	Professional		$992.61	$1,235.74	$1,812.52