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 $1,490.95 / $1,602.00 / $5,471.00	Professional		$1,490.95	$1,602.00	$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 $1,547.18 / $1,877.65 / $2,761.21	Professional		$1,547.18	$1,877.65	$2,761.21
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 $1,344.35 / $1,789.38 / $2,546.39	Professional		$1,344.35	$1,789.38	$2,546.39
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $27.25 / $1,908.78 / $3,949.19	Professional		$27.25	$1,908.78	$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 $18.54 / $1,526.23 / $4,739.03	Professional		$18.54	$1,526.23	$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 $1,512.16 / $1,817.59 / $2,722.98	Professional		$1,512.16	$1,817.59	$2,722.98