Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.00 / $2,599.00 / $5,923.00	Facility		$1,375.00	$2,599.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.68 / $413.02 / $2,213.69	Professional		$377.68	$413.02	$2,213.69
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 $479.10 / $509.64 / $709.43	Professional		$479.10	$509.64	$709.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $745.22 / $745.22 / $745.22	Facility		$745.22	$745.22	$745.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.61 / $493.91 / $748.89	Professional		$349.61	$493.91	$748.89
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $477.42 / $852.32	Professional		$5.20	$477.42	$852.32
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,790.66 / $1,790.66 / $1,790.66	Facility		$1,790.66	$1,790.66	$1,790.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.90 / $414.74 / $1,162.26	Professional		$3.90	$414.74	$1,162.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,947.00 / $7,221.00	Facility		$1,282.00	$2,947.00	$7,221.00
United Facility/Professional Professional Modifier Low / Median / High Price $392.46 / $523.47 / $795.04	Professional		$392.46	$523.47	$795.04