Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,150.00 / $2,472.00 / $4,730.00	Facility		$2,150.00	$2,472.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $822.84 / $925.77 / $4,600.72	Professional		$822.84	$925.77	$4,600.72
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 $963.30 / $1,040.08 / $1,521.27	Professional		$963.30	$1,040.08	$1,521.27
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 $730.28 / $1,132.81 / $1,621.00	Professional		$730.28	$1,132.81	$1,621.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $1,074.78 / $1,889.33	Professional		$11.20	$1,074.78	$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 $8.40 / $878.19 / $2,576.36	Professional		$8.40	$878.19	$2,576.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,000.00 / $9,042.00	Facility		$1,642.00	$3,000.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $773.13 / $1,017.08 / $1,571.25	Professional		$773.13	$1,017.08	$1,571.25