Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,471.31 / $2,556.00 / $5,923.00	Facility		$1,471.31	$2,556.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,471.31 / $1,471.31 / $5,923.00	Professional		$1,471.31	$1,471.31	$5,923.00
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 $1,374.66 / $1,662.87 / $2,393.16	Professional		$1,374.66	$1,662.87	$2,393.16
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 $1,183.98 / $1,684.18 / $2,472.35	Professional		$1,183.98	$1,684.18	$2,472.35
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $29.55 / $1,650.73 / $3,562.89	Professional		$29.55	$1,650.73	$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 $20.10 / $1,350.47 / $4,275.47	Professional		$20.10	$1,350.47	$4,275.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $4,145.00 / $10,407.00	Facility		$2,042.00	$4,145.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,424.42 / $1,785.38 / $2,711.26	Professional		$1,424.42	$1,785.38	$2,711.26