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 $434.97 / $530.66 / $2,348.00	Professional		$434.97	$530.66	$2,348.00
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 $551.33 / $618.04 / $918.08	Professional		$551.33	$618.04	$918.08
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 $415.78 / $665.28 / $991.36	Professional		$415.78	$665.28	$991.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.76 / $646.54 / $1,002.60	Professional		$5.76	$646.54	$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 $4.32 / $538.79 / $1,367.18	Professional		$4.32	$538.79	$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 $455.70 / $617.40 / $969.00	Professional		$455.70	$617.40	$969.00