Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,210.00 / $2,173.00 / $4,841.00	Facility		$1,210.00	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.62 / $447.37 / $2,002.00	Professional		$380.62	$447.37	$2,002.00
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 $491.52 / $537.86 / $739.56	Professional		$491.52	$537.86	$739.56
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 $412.53 / $569.07 / $825.46	Professional		$412.53	$569.07	$825.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $507.82 / $1,002.60	Professional		$5.60	$507.82	$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 $4.20 / $445.27 / $1,367.18	Professional		$4.20	$445.27	$1,367.18
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,244.00	Facility		$721.00	$2,200.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $369.45 / $515.36 / $805.17	Professional		$369.45	$515.36	$805.17