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 $885.24 / $994.67 / $5,062.17	Professional		$885.24	$994.67	$5,062.17
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 $1,092.01 / $1,235.92 / $1,612.44	Professional		$1,092.01	$1,235.92	$1,612.44
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 $823.68 / $1,356.17 / $1,861.22	Professional		$823.68	$1,356.17	$1,861.22
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $1,099.78 / $5,657.86	Professional		$13.60	$1,099.78	$5,657.86
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 $10.19 / $941.39 / $7,715.27	Professional		$10.19	$941.39	$7,715.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.00 / $4,776.00 / $11,845.00	Facility		$2,818.00	$4,776.00	$11,845.00
United Facility/Professional Professional Modifier Low / Median / High Price $896.12 / $1,222.05 / $1,846.03	Professional		$896.12	$1,222.05	$1,846.03