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 $1,082.80 / $1,535.51 / $3,939.00	Professional		$1,082.80	$1,535.51	$3,939.00
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 $1,111.38 / $1,145.75 / $1,834.23	Professional		$1,111.38	$1,145.75	$1,834.23
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 $1,005.22 / $1,442.16 / $2,287.21	Professional		$1,005.22	$1,442.16	$2,287.21
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $1,576.11 / $2,291.42	Professional		$28.80	$1,576.11	$2,291.42
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 / $1,320.75 / $2,718.69	Professional		$14.40	$1,320.75	$2,718.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,390.00 / $9,042.00	Facility		$1,642.00	$3,390.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,044.61 / $1,313.20 / $2,326.23	Professional		$1,044.61	$1,313.20	$2,326.23