Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,042.00 / $6,953.00	Facility		$1,642.00	$3,042.00	$6,953.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,089.78 / $1,101.58 / $1,626.64	Professional		$1,089.78	$1,101.58	$1,626.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $4,589.00 / $6,006.00	Facility		$3,671.00	$4,589.00	$6,006.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,025.16 / $1,246.04 / $1,793.28	Professional		$1,025.16	$1,246.04	$1,793.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,741.63 / $1,741.63 / $1,741.63	Facility		$1,741.63	$1,741.63	$1,741.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $863.90 / $1,193.13 / $1,728.48	Professional		$863.90	$1,193.13	$1,728.48
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $26.46 / $1,219.56 / $2,698.77	Professional		$26.46	$1,219.56	$2,698.77
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,799.18 / $3,811.73 / $3,811.73	Facility		$1,799.18	$3,811.73	$3,811.73
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $1,015.02 / $2,698.77	Professional		$18.00	$1,015.02	$2,698.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,947.00 / $7,138.00	Facility		$1,282.00	$2,947.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.45 / $1,302.67 / $1,863.51	Professional		$1,000.45	$1,302.67	$1,863.51