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 $744.72 / $886.94 / $2,809.00	Professional		$744.72	$886.94	$2,809.00
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 $967.67 / $1,038.94 / $1,519.61	Professional		$967.67	$1,038.94	$1,519.61
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 $729.68 / $1,131.21 / $1,647.00	Professional		$729.68	$1,131.21	$1,647.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $1,074.69 / $1,889.33	Professional		$9.60	$1,074.69	$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 $7.20 / $877.22 / $2,576.36	Professional		$7.20	$877.22	$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 $783.68 / $1,054.35 / $1,630.97	Professional		$783.68	$1,054.35	$1,630.97