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 $1,051.57 / $1,051.57 / $1,168.79	Professional		$1,051.57	$1,051.57	$1,168.79
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 $983.14 / $1,189.26 / $1,711.55	Professional		$983.14	$1,189.26	$1,711.55
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 $831.67 / $1,202.33 / $1,714.18	Professional		$831.67	$1,202.33	$1,714.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $1,163.75 / $3,562.89	Professional		$17.64	$1,163.75	$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 $12.00 / $968.90 / $4,275.47	Professional		$12.00	$968.90	$4,275.47
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 $1,013.68 / $1,253.41 / $1,840.87	Professional		$1,013.68	$1,253.41	$1,840.87