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 $601.05 / $668.86 / $3,405.92	Professional		$601.05	$668.86	$3,405.92
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 $725.85 / $779.50 / $1,076.64	Professional		$725.85	$779.50	$1,076.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,804.95 / $4,804.95 / $4,804.95	Facility		$4,804.95	$4,804.95	$4,804.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.33 / $796.84 / $1,181.78	Professional		$540.33	$796.84	$1,181.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $735.67 / $4,244.76	Professional		$7.20	$735.67	$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 $5.40 / $639.94 / $5,788.31	Professional		$5.40	$639.94	$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 $576.46 / $747.43 / $1,105.09	Professional		$576.46	$747.43	$1,105.09