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 $834.47 / $938.51 / $4,750.22	Professional		$834.47	$938.51	$4,750.22
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 $908.72 / $1,058.27 / $1,547.88	Professional		$908.72	$1,058.27	$1,547.88
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 $717.10 / $1,140.70 / $1,686.25	Professional		$717.10	$1,140.70	$1,686.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.80 / $1,064.34 / $1,889.33	Professional		$8.80	$1,064.34	$1,889.33
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 $6.60 / $890.96 / $2,576.36	Professional		$6.60	$890.96	$2,576.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $2,661.00 / $9,042.00	Facility		$1,642.00	$2,661.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $736.21 / $1,023.43 / $1,624.77	Professional		$736.21	$1,023.43	$1,624.77