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 $1,575.60 / $1,625.36 / $2,593.05	Professional		$1,575.60	$1,625.36	$2,593.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,877.00 / $5,379.00 / $8,190.00	Facility		$3,877.00	$5,379.00	$8,190.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,506.92 / $1,828.78 / $2,722.96	Professional		$1,506.92	$1,828.78	$2,722.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,069.49 / $3,069.49 / $3,069.49	Facility		$3,069.49	$3,069.49	$3,069.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,314.86 / $1,688.00 / $2,487.80	Professional		$1,314.86	$1,688.00	$2,487.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $1,800.00 / $3,949.19	Professional		$17.64	$1,800.00	$3,949.19
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,159.35 / $6,537.87 / $6,537.87	Facility		$3,159.35	$6,537.87	$6,537.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $1,501.08 / $4,739.03	Professional		$12.00	$1,501.08	$4,739.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $4,145.00 / $10,407.00	Facility		$2,042.00	$4,145.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,471.18 / $1,785.13 / $2,651.60	Professional		$1,471.18	$1,785.13	$2,651.60