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 $666.75 / $718.46 / $1,411.88	Professional		$666.75	$718.46	$1,411.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,556.00 / $9,098.00 / $15,073.00	Facility		$6,556.00	$9,098.00	$15,073.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $835.02 / $943.79 / $1,231.65	Professional		$835.02	$943.79	$1,231.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,845.87 / $8,845.87 / $8,845.87	Facility		$8,845.87	$8,845.87	$8,845.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $689.41 / $1,065.84 / $1,448.09	Professional		$689.41	$1,065.84	$1,448.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $854.08 / $9,902.59	Professional		$4.80	$854.08	$9,902.59
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $14,220.15 / $14,220.15 / $14,220.15	Facility		$14,220.15	$14,220.15	$14,220.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $724.04 / $13,503.53	Professional		$3.60	$724.04	$13,503.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $4,145.00 / $10,407.00	Facility		$2,042.00	$4,145.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $682.24 / $957.81 / $1,412.95	Professional		$682.24	$957.81	$1,412.95