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 $1,182.28 / $1,269.32 / $5,471.00	Professional		$1,182.28	$1,269.32	$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 $1,211.94 / $1,470.80 / $2,194.36	Professional		$1,211.94	$1,470.80	$2,194.36
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 $1,060.76 / $1,360.00 / $2,004.19	Professional		$1,060.76	$1,360.00	$2,004.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $22.67 / $1,534.96 / $3,949.19	Professional		$22.67	$1,534.96	$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 $15.42 / $1,211.08 / $4,739.03	Professional		$15.42	$1,211.08	$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 $1,180.73 / $1,490.16 / $2,138.61	Professional		$1,180.73	$1,490.16	$2,138.61