Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,042.00 / $6,953.00	Facility		$1,642.00	$3,042.00	$6,953.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.18 / $401.36 / $2,061.21	Professional		$366.18	$401.36	$2,061.21
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 $446.50 / $490.10 / $656.10	Professional		$446.50	$490.10	$656.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,032.25 / $1,032.25 / $1,032.25	Facility		$1,032.25	$1,032.25	$1,032.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.67 / $500.36 / $710.54	Professional		$335.67	$500.36	$710.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.08 / $442.25 / $1,296.30	Professional		$2.08	$442.25	$1,296.30
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,021.63 / $2,021.63 / $2,021.63	Facility		$2,021.63	$2,021.63	$2,021.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.56 / $389.94 / $1,767.68	Professional		$1.56	$389.94	$1,767.68
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,578.00 / $6,244.00	Facility		$721.00	$2,578.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $347.82 / $471.25 / $712.84	Professional		$347.82	$471.25	$712.84