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 $1,210.67 / $1,296.51 / $5,471.00	Professional		$1,210.67	$1,296.51	$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 $1,244.16 / $1,509.90 / $2,240.73	Professional		$1,244.16	$1,509.90	$2,240.73
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 $1,084.99 / $1,406.00 / $2,047.12	Professional		$1,084.99	$1,406.00	$2,047.12
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $20.73 / $1,567.28 / $3,949.19	Professional		$20.73	$1,567.28	$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 $14.10 / $1,237.21 / $4,739.03	Professional		$14.10	$1,237.21	$4,739.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $4,820.00 / $10,407.00	Facility		$2,042.00	$4,820.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,219.74 / $1,466.10 / $2,185.58	Professional		$1,219.74	$1,466.10	$2,185.58