Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.00 / $3,509.00 / $7,674.00	Facility		$1,862.00	$3,509.00	$7,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,049.38 / $1,453.49 / $3,959.00	Professional		$1,049.38	$1,453.49	$3,959.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $4,589.00 / $6,006.00	Facility		$3,671.00	$4,589.00	$6,006.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,081.52 / $1,114.97 / $1,733.10	Professional		$1,081.52	$1,114.97	$1,733.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,669.80 / $1,669.80 / $1,669.80	Facility		$1,669.80	$1,669.80	$1,669.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $953.01 / $1,410.46 / $2,225.08	Professional		$953.01	$1,410.46	$2,225.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $1,482.07 / $2,265.58	Professional		$28.80	$1,482.07	$2,265.58
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $4,167.63 / $4,167.63 / $4,167.63	Facility		$4,167.63	$4,167.63	$4,167.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $1,257.25 / $2,718.69	Professional		$14.40	$1,257.25	$2,718.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,000.00 / $9,042.00	Facility		$1,642.00	$3,000.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.72 / $1,276.14 / $2,269.90	Professional		$1,023.72	$1,276.14	$2,269.90