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 $805.69 / $852.81 / $1,369.95	Professional		$805.69	$852.81	$1,369.95
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 $707.51 / $858.62 / $1,350.00	Professional		$707.51	$858.62	$1,350.00
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 $708.77 / $1,017.55 / $1,539.51	Professional		$708.77	$1,017.55	$1,539.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $4.80 / $200.00	Professional		$4.20	$4.80	$200.00
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 $3.60 / $3.60 / $3.60	Professional		$3.60	$3.60	$3.60
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 $746.28 / $949.68 / $1,661.94	Professional		$746.28	$949.68	$1,661.94