Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.00 / $2,556.00 / $5,923.00	Facility		$1,375.00	$2,556.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $678.39 / $758.37 / $3,862.94	Professional		$678.39	$758.37	$3,862.94
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 $809.57 / $885.83 / $1,218.01	Professional		$809.57	$885.83	$1,218.01
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 $613.71 / $905.41 / $1,338.43	Professional		$613.71	$905.41	$1,338.43
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $825.31 / $4,244.76	Professional		$10.80	$825.31	$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 $8.10 / $721.88 / $5,788.31	Professional		$8.10	$721.88	$5,788.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,000.00 / $9,042.00	Facility		$1,642.00	$3,000.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $607.10 / $851.20 / $1,467.00	Professional		$607.10	$851.20	$1,467.00