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 $1,281.44 / $1,754.55 / $4,473.00	Professional		$1,281.44	$1,754.55	$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 $1,315.42 / $1,356.11 / $2,068.58	Professional		$1,315.42	$1,356.11	$2,068.58
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 $1,140.10 / $1,719.29 / $2,723.12	Professional		$1,140.10	$1,719.29	$2,723.12
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $37.44 / $1,752.01 / $2,473.54	Professional		$37.44	$1,752.01	$2,473.54
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 $18.72 / $1,504.43 / $2,718.69	Professional		$18.72	$1,504.43	$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 $1,250.32 / $1,521.10 / $2,603.85	Professional		$1,250.32	$1,521.10	$2,603.85