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 $240.07 / $240.07 / $243.46	Professional		$240.07	$240.07	$243.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $4,589.00 / $6,006.00	Facility		$3,671.00	$4,589.00	$6,006.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.57 / $370.89 / $811.44	Professional		$253.57	$370.89	$811.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,055.71 / $2,055.71 / $2,055.71	Facility		$2,055.71	$2,055.71	$2,055.71
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $397.35 / $397.35 / $2,403.15	Professional		$397.35	$397.35	$2,403.15
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,184.67 / $4,022.08 / $4,022.08	Facility		$2,184.67	$4,022.08	$4,022.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,060.00 / $9,042.00	Facility		$1,642.00	$3,060.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $240.48 / $325.92 / $665.48	Professional		$240.48	$325.92	$665.48