Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,385.97 / $2,556.00 / $5,923.00	Facility		$1,385.97	$2,556.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,203.94 / $1,385.97 / $7,153.62	Professional		$1,203.94	$1,385.97	$7,153.62
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 $1,536.62 / $1,817.91 / $2,349.69	Professional		$1,536.62	$1,817.91	$2,349.69
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 $1,107.74 / $1,694.00 / $2,591.00	Professional		$1,107.74	$1,694.00	$2,591.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $1,515.88 / $4,785.39	Professional		$16.00	$1,515.88	$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 / $1,320.36 / $6,525.53	Professional		$12.00	$1,320.36	$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 $1,232.01 / $1,619.83 / $2,502.37	Professional		$1,232.01	$1,619.83	$2,502.37