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 $973.85 / $1,092.57 / $5,574.01	Professional		$973.85	$1,092.57	$5,574.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $4,589.00 / $6,006.00	Facility		$3,671.00	$4,589.00	$6,006.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $874.00 / $1,132.15 / $1,797.33	Professional		$874.00	$1,132.15	$1,797.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,661.51 / $1,661.51 / $1,661.51	Facility		$1,661.51	$1,661.51	$1,661.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $678.60 / $1,116.00 / $1,870.30	Professional		$678.60	$1,116.00	$1,870.30
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $1,162.50 / $2,715.03	Professional		$8.00	$1,162.50	$2,715.03
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,585.88 / $3,585.88 / $3,585.88	Facility		$3,585.88	$3,585.88	$3,585.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,035.57 / $3,702.32	Professional		$6.00	$1,035.57	$3,702.32
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,415.00 / $6,244.00	Facility		$721.00	$2,415.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $570.48 / $1,052.58 / $1,790.42	Professional		$570.48	$1,052.58	$1,790.42