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 $779.54 / $850.74 / $1,865.40	Professional		$779.54	$850.74	$1,865.40
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 $683.29 / $829.23 / $1,295.00	Professional		$683.29	$829.23	$1,295.00
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 $585.51 / $969.81 / $1,435.18	Professional		$585.51	$969.81	$1,435.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.64 / $980.08 / $1,433.89	Professional		$14.64	$980.08	$1,433.89
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 / $851.08 / $1,955.31	Professional		$10.98	$851.08	$1,955.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.83 / $2,625.00 / $4,296.00	Facility		$1,230.83	$2,625.00	$4,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $744.74 / $908.28 / $1,589.50	Professional		$744.74	$908.28	$1,589.50