Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,315.69 / $1,713.00 / $4,473.00	Facility		$1,315.69	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,140.17 / $1,315.69 / $6,782.96	Professional		$1,140.17	$1,315.69	$6,782.96
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 $1,458.16 / $1,632.33 / $2,222.17	Professional		$1,458.16	$1,632.33	$2,222.17
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 $919.47 / $1,592.67 / $2,425.00	Professional		$919.47	$1,592.67	$2,425.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $1,375.12 / $4,785.39	Professional		$6.40	$1,375.12	$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 $4.80 / $1,250.26 / $6,525.53	Professional		$4.80	$1,250.26	$6,525.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,709.00 / $3,569.00 / $10,407.00	Facility		$1,709.00	$3,569.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,141.93 / $1,484.50 / $2,373.85	Professional		$1,141.93	$1,484.50	$2,373.85