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 $812.58 / $892.97 / $1,484.92	Professional		$812.58	$892.97	$1,484.92
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 $716.41 / $869.42 / $1,356.00	Professional		$716.41	$869.42	$1,356.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,264.58 / $1,264.58 / $1,264.58	Facility		$1,264.58	$1,264.58	$1,264.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $640.53 / $1,018.11 / $1,509.32	Professional		$640.53	$1,018.11	$1,509.32
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.64 / $1,047.26 / $1,451.71	Professional		$14.64	$1,047.26	$1,451.71
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,163.08 / $3,163.08 / $3,163.08	Facility		$3,163.08	$3,163.08	$3,163.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $899.26 / $1,955.31	Professional		$10.98	$899.26	$1,955.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,940.00 / $7,138.00	Facility		$1,282.00	$2,940.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $760.81 / $958.90 / $1,673.92	Professional		$760.81	$958.90	$1,673.92