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 $1,041.80 / $1,483.94 / $3,959.00	Professional		$1,041.80	$1,483.94	$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 $1,068.77 / $1,101.82 / $1,772.75	Professional		$1,068.77	$1,101.82	$1,772.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,116.42 / $2,116.42 / $2,116.42	Facility		$2,116.42	$2,116.42	$2,116.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $970.12 / $1,395.12 / $2,201.19	Professional		$970.12	$1,395.12	$2,201.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $1,521.73 / $2,870.50	Professional		$28.80	$1,521.73	$2,870.50
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 / $1,274.74 / $3,444.60	Professional		$14.40	$1,274.74	$3,444.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,644.00 / $9,042.00	Facility		$1,642.00	$3,644.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,010.42 / $1,265.25 / $2,241.31	Professional		$1,010.42	$1,265.25	$2,241.31