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 $1,031.55 / $1,097.83 / $5,471.00	Professional		$1,031.55	$1,097.83	$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 $1,068.40 / $1,296.59 / $1,891.81	Professional		$1,068.40	$1,296.59	$1,891.81
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 $932.47 / $1,238.23 / $1,733.42	Professional		$932.47	$1,238.23	$1,733.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $1,281.00 / $3,949.19	Professional		$16.14	$1,281.00	$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 $10.98 / $1,044.18 / $4,739.03	Professional		$10.98	$1,044.18	$4,739.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $4,794.00 / $10,407.00	Facility		$2,042.00	$4,794.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $919.99 / $1,266.49 / $1,884.25	Professional		$919.99	$1,266.49	$1,884.25