Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,150.00 / $2,599.00 / $4,730.00	Facility		$1,150.00	$2,599.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.05 / $730.79 / $3,500.80	Professional		$164.05	$730.79	$3,500.80
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 $199.37 / $781.98 / $1,383.50	Professional		$199.37	$781.98	$1,383.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $745.22 / $745.22 / $745.22	Facility		$745.22	$745.22	$745.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.59 / $822.33 / $1,245.67	Professional		$162.59	$822.33	$1,245.67
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $141.90 / $682.19 / $1,212.34	Professional		$141.90	$682.19	$1,212.34
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $774.84 / $1,790.66 / $1,790.66	Facility		$774.84	$1,790.66	$1,790.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $149.37 / $169.77 / $1,077.14	Professional		$149.37	$169.77	$1,077.14
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,317.00	Facility		$721.00	$2,200.00	$6,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $916.31 / $1,212.54 / $1,735.05	Professional		$916.31	$1,212.54	$1,735.05