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 $446.03 / $607.08 / $1,083.26	Professional		$446.03	$607.08	$1,083.26
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 $532.50 / $646.23 / $989.50	Professional		$532.50	$646.23	$989.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,059.40 / $2,059.40 / $2,059.40	Facility		$2,059.40	$2,059.40	$2,059.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.40 / $733.68 / $1,097.04	Professional		$456.40	$733.68	$1,097.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $758.45 / $2,229.21	Professional		$10.56	$758.45	$2,229.21
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $4,046.03 / $4,046.03 / $4,046.03	Facility		$4,046.03	$4,046.03	$4,046.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.92 / $654.39 / $3,039.84	Professional		$7.92	$654.39	$3,039.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,000.00 / $9,042.00	Facility		$1,642.00	$3,000.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $565.29 / $687.51 / $1,170.40	Professional		$565.29	$687.51	$1,170.40