Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,210.00 / $2,173.00 / $4,841.00	Facility		$1,210.00	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.30 / $645.72 / $3,230.87	Professional		$577.30	$645.72	$3,230.87
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 $623.64 / $710.34 / $1,072.76	Professional		$623.64	$710.34	$1,072.76
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 $523.36 / $754.61 / $1,155.00	Professional		$523.36	$754.61	$1,155.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $758.35 / $1,137.53	Professional		$9.19	$758.35	$1,137.53
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 $6.90 / $631.96 / $1,367.18	Professional		$6.90	$631.96	$1,367.18
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,299.00 / $6,244.00	Facility		$721.00	$2,299.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $516.84 / $682.89 / $1,143.29	Professional		$516.84	$682.89	$1,143.29