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 $1,153.63 / $1,240.35 / $5,471.00	Professional		$1,153.63	$1,240.35	$5,471.00
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 $1,179.58 / $1,431.52 / $2,145.09	Professional		$1,179.58	$1,431.52	$2,145.09
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 $1,035.33 / $1,316.83 / $1,958.47	Professional		$1,035.33	$1,316.83	$1,958.47
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $19.93 / $1,499.67 / $3,949.19	Professional		$19.93	$1,499.67	$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 $13.56 / $1,183.95 / $4,739.03	Professional		$13.56	$1,183.95	$4,739.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $4,711.00 / $10,407.00	Facility		$2,042.00	$4,711.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,151.56 / $1,409.99 / $2,087.38	Professional		$1,151.56	$1,409.99	$2,087.38