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 $1,111.68 / $1,281.08 / $6,606.12	Professional		$1,111.68	$1,281.08	$6,606.12
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 $1,420.26 / $1,669.20 / $2,149.73	Professional		$1,420.26	$1,669.20	$2,149.73
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 $1,015.59 / $1,557.31 / $2,417.00	Professional		$1,015.59	$1,557.31	$2,417.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $1,399.15 / $6,063.15	Professional		$14.40	$1,399.15	$6,063.15
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 / $1,219.16 / $8,267.93	Professional		$10.80	$1,219.16	$8,267.93
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 $1,137.08 / $1,483.03 / $2,287.60	Professional		$1,137.08	$1,483.03	$2,287.60