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 $787.55 / $835.54 / $4,502.92	Professional		$787.55	$835.54	$4,502.92
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 $969.96 / $1,031.99 / $1,437.98	Professional		$969.96	$1,031.99	$1,437.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,681.93 / $4,681.93 / $4,681.93	Facility		$4,681.93	$4,681.93	$4,681.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $752.23 / $1,101.81 / $1,585.00	Professional		$752.23	$1,101.81	$1,585.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.80 / $980.54 / $5,378.18	Professional		$8.80	$980.54	$5,378.18
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 $6.60 / $837.55 / $7,333.88	Professional		$6.60	$837.55	$7,333.88
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 $770.97 / $999.51 / $1,566.82	Professional		$770.97	$999.51	$1,566.82