Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,389.30 / $2,556.00 / $5,923.00	Facility		$1,389.30	$2,556.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,205.70 / $1,389.30 / $7,167.27	Professional		$1,205.70	$1,389.30	$7,167.27
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 $1,540.03 / $1,819.61 / $2,329.41	Professional		$1,540.03	$1,819.61	$2,329.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,250.74 / $3,250.74 / $3,250.74	Facility		$3,250.74	$3,250.74	$3,250.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,760.24 / $2,594.00	Professional		$1,096.48	$1,760.24	$2,594.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $1,516.85 / $2,501.09	Professional		$10.80	$1,516.85	$2,501.09
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $7,077.65 / $7,077.65 / $7,077.65	Facility		$7,077.65	$7,077.65	$7,077.65
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $1,322.20 / $3,410.58	Professional		$8.10	$1,322.20	$3,410.58
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 $1,177.25 / $1,619.42 / $2,469.50	Professional		$1,177.25	$1,619.42	$2,469.50