Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $696.51 / $2,173.00 / $4,730.00	Facility		$696.51	$2,173.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $646.99 / $785.28 / $1,316.22	Professional		$646.99	$785.28	$1,316.22
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 $573.32 / $801.66 / $1,269.00	Professional		$573.32	$801.66	$1,269.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,032.25 / $1,032.25 / $1,032.25	Facility		$1,032.25	$1,032.25	$1,032.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $607.82 / $832.79 / $1,362.74	Professional		$607.82	$832.79	$1,362.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $617.46 / $994.44 / $1,414.14	Professional		$617.46	$994.44	$1,414.14
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,021.63 / $2,021.63 / $2,021.63	Facility		$2,021.63	$2,021.63	$2,021.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $649.96 / $836.50 / $1,368.63	Professional		$649.96	$836.50	$1,368.63
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,244.00	Facility		$721.00	$2,200.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $758.28 / $896.47 / $1,564.94	Professional		$758.28	$896.47	$1,564.94