Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.00 / $2,624.00 / $5,923.00	Facility		$1,375.00	$2,624.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.89 / $367.47 / $1,731.80	Professional		$308.89	$367.47	$1,731.80
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 $387.37 / $714.70 / $813.84	Professional		$387.37	$714.70	$813.84
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 $324.08 / $525.79 / $907.00	Professional		$324.08	$525.79	$907.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.76 / $429.36 / $1,433.89	Professional		$3.76	$429.36	$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 $2.82 / $327.48 / $1,955.31	Professional		$2.82	$327.48	$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 $341.20 / $547.37 / $821.15	Professional		$341.20	$547.37	$821.15