Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.00 / $2,556.00 / $5,923.00	Facility		$1,375.00	$2,556.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.94 / $519.29 / $790.17	Professional		$405.94	$519.29	$790.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,093.00 / $8,455.00 / $14,510.00	Facility		$6,093.00	$8,455.00	$14,510.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $554.25 / $888.54 / $1,310.91	Professional		$554.25	$888.54	$1,310.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,255.93 / $5,255.93 / $5,255.93	Facility		$5,255.93	$5,255.93	$5,255.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $5,694.05 / $8,163.21	Professional		$200.00	$5,694.05	$8,163.21
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $7,895.11 / $7,895.11 / $7,895.11	Facility		$7,895.11	$7,895.11	$7,895.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,390.00 / $3,180.00 / $7,221.00	Facility		$1,390.00	$3,180.00	$7,221.00
United Facility/Professional Professional Modifier Low / Median / High Price $463.36 / $651.60 / $955.68	Professional		$463.36	$651.60	$955.68