Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.00 / $2,809.00 / $22,351.00	Facility		$1,375.00	$2,809.00	$22,351.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $788.43 / $884.95 / $4,506.30	Professional		$788.43	$884.95	$4,506.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,093.00 / $8,455.00 / $14,510.00	Facility		$6,093.00	$8,455.00	$14,510.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $838.65 / $1,023.57 / $1,419.26	Professional		$838.65	$1,023.57	$1,419.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,693.93 / $3,693.93 / $3,693.93	Facility		$3,693.93	$3,693.93	$3,693.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $742.65 / $1,056.15 / $1,561.26	Professional		$742.65	$1,056.15	$1,561.26
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $955.04 / $4,244.76	Professional		$5.60	$955.04	$4,244.76
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $7,895.11 / $7,895.11 / $7,895.11	Facility		$7,895.11	$7,895.11	$7,895.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $838.57 / $5,788.31	Professional		$4.20	$838.57	$5,788.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.00 / $4,776.00 / $11,845.00	Facility		$2,818.00	$4,776.00	$11,845.00
United Facility/Professional Professional Modifier Low / Median / High Price $746.40 / $971.78 / $1,518.94	Professional		$746.40	$971.78	$1,518.94