Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.33 / $2,556.00 / $5,923.00	Facility		$1,445.33	$2,556.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,253.57 / $1,445.33 / $7,455.11	Professional		$1,253.57	$1,445.33	$7,455.11
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 $1,601.82 / $1,984.36 / $2,408.19	Professional		$1,601.82	$1,984.36	$2,408.19
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 $1,207.65 / $1,767.15 / $2,586.39	Professional		$1,207.65	$1,767.15	$2,586.39
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $1,576.56 / $4,785.39	Professional		$16.00	$1,576.56	$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 $12.00 / $1,374.66 / $6,525.53	Professional		$12.00	$1,374.66	$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 $1,258.27 / $1,660.89 / $2,608.90	Professional		$1,258.27	$1,660.89	$2,608.90