Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.00 / $2,556.00 / $5,923.00	Facility		$1,375.00	$2,556.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,162.23 / $1,341.77 / $6,913.29	Professional		$1,162.23	$1,341.77	$6,913.29
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 $1,486.97 / $1,731.93 / $2,246.52	Professional		$1,486.97	$1,731.93	$2,246.52
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 $1,017.86 / $1,617.81 / $2,401.06	Professional		$1,017.86	$1,617.81	$2,401.06
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $1,461.09 / $4,785.39	Professional		$14.40	$1,461.09	$4,785.39
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 $10.80 / $1,274.49 / $6,525.53	Professional		$10.80	$1,274.49	$6,525.53
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 $1,170.53 / $1,522.81 / $2,338.53	Professional		$1,170.53	$1,522.81	$2,338.53