Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,150.00 / $4,793.00 / $7,802.00	Facility		$2,150.00	$4,793.00	$7,802.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.07 / $2,286.89 / $3,682.86	Professional		$630.07	$2,286.89	$3,682.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,877.00 / $5,379.00 / $8,190.00	Facility		$3,877.00	$5,379.00	$8,190.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $747.07 / $890.64 / $1,324.01	Professional		$747.07	$890.64	$1,324.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,890.47 / $3,890.47 / $3,890.47	Facility		$3,890.47	$3,890.47	$3,890.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $665.78 / $1,307.40 / $4,519.17	Professional		$665.78	$1,307.40	$4,519.17
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $11.47 / $2,203.80 / $4,537.24	Professional		$11.47	$2,203.80	$4,537.24
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $6,537.87 / $6,537.87 / $6,537.87	Facility		$6,537.87	$6,537.87	$6,537.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $898.53 / $6,004.40	Professional		$7.80	$898.53	$6,004.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $3,000.00 / $7,138.00	Facility		$1,282.00	$3,000.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,345.82 / $3,175.41 / $4,906.72	Professional		$2,345.82	$3,175.41	$4,906.72