Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,065.00 / $2,556.00 / $4,730.00	Facility		$2,065.00	$2,556.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.52 / $351.37 / $1,708.00	Professional		$299.52	$351.37	$1,708.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,931.00 / $5,258.00	Facility		$3,072.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.21 / $412.56 / $571.03	Professional		$389.21	$412.56	$571.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $882.01 / $882.01 / $882.01	Facility		$882.01	$882.01	$882.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.04 / $456.34 / $620.63	Professional		$301.04	$456.34	$620.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $421.51 / $1,002.60	Professional		$4.32	$421.51	$1,002.60
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,768.74 / $1,768.74 / $1,768.74	Facility		$1,768.74	$1,768.74	$1,768.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $345.69 / $1,367.18	Professional		$3.24	$345.69	$1,367.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,625.00 / $7,138.00	Facility		$1,282.00	$2,625.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $315.45 / $413.66 / $613.62	Professional		$315.45	$413.66	$613.62