Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,150.00 / $4,793.00 / $7,802.00	Facility		$2,150.00	$4,793.00	$7,802.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,224.65 / $1,678.85 / $4,473.00	Professional		$1,224.65	$1,678.85	$4,473.00
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 $1,254.46 / $1,293.26 / $1,981.70	Professional		$1,254.46	$1,293.26	$1,981.70
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 $1,090.83 / $1,640.10 / $2,598.58	Professional		$1,090.83	$1,640.10	$2,598.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $1,689.48 / $2,378.27	Professional		$32.40	$1,689.48	$2,378.27
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 $16.20 / $1,441.43 / $2,718.69	Professional		$16.20	$1,441.43	$2,718.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,060.00 / $9,042.00	Facility		$1,642.00	$3,060.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,207.40 / $1,456.73 / $2,575.48	Professional		$1,207.40	$1,456.73	$2,575.48