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 $984.93 / $1,133.42 / $5,843.88	Professional		$984.93	$1,133.42	$5,843.88
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 $1,257.27 / $1,461.81 / $1,903.40	Professional		$1,257.27	$1,461.81	$1,903.40
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 $943.81 / $1,388.00 / $2,079.00	Professional		$943.81	$1,388.00	$2,079.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $1,246.53 / $2,501.09	Professional		$12.80	$1,246.53	$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 $9.60 / $1,080.48 / $3,410.58	Professional		$9.60	$1,080.48	$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 $1,004.70 / $1,335.71 / $2,060.36	Professional		$1,004.70	$1,335.71	$2,060.36