Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $810.78 / $2,173.00 / $4,841.00	Facility		$810.78	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $640.62 / $775.53 / $1,407.16	Professional		$640.62	$775.53	$1,407.16
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 $574.02 / $777.79 / $1,231.20	Professional		$574.02	$777.79	$1,231.20
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 $601.80 / $801.64 / $1,282.82	Professional		$601.80	$801.64	$1,282.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $604.05 / $935.52 / $1,343.74	Professional		$604.05	$935.52	$1,343.74
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 $604.05 / $819.22 / $1,275.71	Professional		$604.05	$819.22	$1,275.71
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 $706.39 / $871.20 / $1,520.83	Professional		$706.39	$871.20	$1,520.83