Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.00 / $3,509.00 / $7,674.00	Facility		$1,862.00	$3,509.00	$7,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $759.86 / $924.45 / $4,657.14	Professional		$759.86	$924.45	$4,657.14
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 $862.10 / $1,046.23 / $1,548.11	Professional		$862.10	$1,046.23	$1,548.11
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 $759.16 / $1,004.70 / $1,414.98	Professional		$759.16	$1,004.70	$1,414.98
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $20.73 / $1,069.21 / $3,949.19	Professional		$20.73	$1,069.21	$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 / $853.65 / $4,739.03	Professional		$14.10	$853.65	$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 $792.49 / $1,004.59 / $1,662.81	Professional		$792.49	$1,004.59	$1,662.81