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 $1,071.81 / $1,278.67 / $4,512.18	Professional		$1,071.81	$1,278.67	$4,512.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,224.00 / $17,105.00 / $21,568.00	Facility		$9,224.00	$17,105.00	$21,568.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,065.36 / $1,482.86 / $1,982.15	Professional		$1,065.36	$1,482.86	$1,982.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,590.00 / $14,309.00 / $19,304.00	Facility		$11,590.00	$14,309.00	$19,304.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $935.86 / $1,337.62 / $1,743.46	Professional		$935.86	$1,337.62	$1,743.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $1,193.40 / $1,649.24	Professional		$23.40	$1,193.40	$1,649.24
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $12,533.37 / $12,533.37 / $12,533.37	Facility		$12,533.37	$12,533.37	$12,533.37
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $1,023.10 / $1,413.63	Professional		$23.40	$1,023.10	$1,413.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.00 / $4,776.00 / $19,260.00	Facility		$2,818.00	$4,776.00	$19,260.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,019.35 / $1,313.57 / $1,981.99	Professional		$1,019.35	$1,313.57	$1,981.99