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 $1,060.20 / $1,528.39 / $3,959.00	Professional		$1,060.20	$1,528.39	$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 $1,104.84 / $1,139.02 / $1,825.76	Professional		$1,104.84	$1,139.02	$1,825.76
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 $994.24 / $1,439.98 / $2,212.83	Professional		$994.24	$1,439.98	$2,212.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $30.24 / $1,568.80 / $2,280.80	Professional		$30.24	$1,568.80	$2,280.80
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 $15.12 / $1,313.46 / $2,718.69	Professional		$15.12	$1,313.46	$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 $1,043.47 / $1,306.20 / $2,351.16	Professional		$1,043.47	$1,306.20	$2,351.16