Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,642.00 / $4,587.00 / $7,097.00	Facility		$2,642.00	$4,587.00	$7,097.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,002.05 / $1,165.54 / $5,324.00	Professional		$1,002.05	$1,165.54	$5,324.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,556.00 / $9,098.00 / $15,073.00	Facility		$6,556.00	$9,098.00	$15,073.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,168.47 / $1,333.84 / $1,919.63	Professional		$1,168.47	$1,333.84	$1,919.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,151.33 / $17,045.00 / $17,152.00	Facility		$5,151.33	$17,045.00	$17,152.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.58 / $1,294.51 / $1,889.76	Professional		$954.58	$1,294.51	$1,889.76
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $20.29 / $1,297.22 / $6,683.54	Professional		$20.29	$1,297.22	$6,683.54
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $5,346.83 / $11,506.27 / $11,506.27	Facility		$5,346.83	$11,506.27	$11,506.27
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $1,065.51 / $8,020.25	Professional		$13.80	$1,065.51	$8,020.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.00 / $4,776.00 / $11,845.00	Facility		$2,818.00	$4,776.00	$11,845.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,081.68 / $1,340.65 / $1,983.06	Professional		$1,081.68	$1,340.65	$1,983.06