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 $1,442.19 / $1,512.21 / $5,471.00	Professional		$1,442.19	$1,512.21	$5,471.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,931.00 / $5,258.00	Facility		$3,072.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,483.58 / $1,800.46 / $2,593.71	Professional		$1,483.58	$1,800.46	$2,593.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,467.17 / $1,467.17 / $1,467.17	Facility		$1,467.17	$1,467.17	$1,467.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,295.89 / $1,709.25 / $2,483.12	Professional		$1,295.89	$1,709.25	$2,483.12
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $34.57 / $1,678.42 / $2,473.50	Professional		$34.57	$1,678.42	$2,473.50
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,545.94 / $3,584.18 / $3,584.18	Facility		$1,545.94	$3,584.18	$3,584.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $23.52 / $1,439.96 / $2,318.91	Professional		$23.52	$1,439.96	$2,318.91
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 $1,470.00 / $1,766.91 / $2,637.57	Professional		$1,470.00	$1,766.91	$2,637.57