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 $1,100.88 / $1,168.48 / $4,473.00	Professional		$1,100.88	$1,168.48	$4,473.00
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 $1,135.13 / $1,395.45 / $2,008.31	Professional		$1,135.13	$1,395.45	$2,008.31
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 $997.10 / $1,323.43 / $1,881.66	Professional		$997.10	$1,323.43	$1,881.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $26.46 / $1,358.82 / $3,949.19	Professional		$26.46	$1,358.82	$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 $18.00 / $1,113.20 / $4,739.03	Professional		$18.00	$1,113.20	$4,739.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $3,685.00 / $10,407.00	Facility		$2,042.00	$3,685.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,061.22 / $1,381.04 / $2,018.44	Professional		$1,061.22	$1,381.04	$2,018.44