Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,210.00 / $2,173.00 / $4,841.00	Facility		$1,210.00	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,033.04 / $1,189.80 / $6,133.07	Professional		$1,033.04	$1,189.80	$6,133.07
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 $1,319.43 / $1,567.44 / $2,033.73	Professional		$1,319.43	$1,567.44	$2,033.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $973.17 / $973.17 / $973.17	Facility		$973.17	$973.17	$973.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $919.55 / $1,458.16 / $2,142.00	Professional		$919.55	$1,458.16	$2,142.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $1,147.89 / $1,742.71	Professional		$11.76	$1,147.89	$1,742.71
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,158.16 / $2,158.16 / $2,158.16	Facility		$2,158.16	$2,158.16	$2,158.16
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $1,133.11 / $1,565.31	Professional		$8.82	$1,133.11	$1,565.31
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 $1,054.93 / $1,411.66 / $2,143.90	Professional		$1,054.93	$1,411.66	$2,143.90