Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,150.00 / $2,556.00 / $4,905.00	Facility		$1,150.00	$2,556.00	$4,905.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.50 / $658.93 / $2,740.44	Professional		$529.50	$658.93	$2,740.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,214.00 / $3,931.00 / $5,258.00	Facility		$3,214.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $569.27 / $905.83	Professional		$512.86	$569.27	$905.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $634.04 / $634.04 / $634.04	Facility		$634.04	$634.04	$634.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.00 / $664.77 / $1,122.35	Professional		$369.00	$664.77	$1,122.35
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $734.60 / $1,168.36	Professional		$13.76	$734.60	$1,168.36
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,584.18 / $3,584.18 / $3,584.18	Facility		$3,584.18	$3,584.18	$3,584.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $723.72 / $1,188.90	Professional		$9.36	$723.72	$1,188.90
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 $450.68 / $651.70 / $1,188.29	Professional		$450.68	$651.70	$1,188.29