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 $841.66 / $947.51 / $4,832.59	Professional		$841.66	$947.51	$4,832.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,093.00 / $8,455.00 / $14,510.00	Facility		$6,093.00	$8,455.00	$14,510.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,004.05 / $1,071.54 / $1,567.28	Professional		$1,004.05	$1,071.54	$1,567.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,015.30 / $5,015.30 / $5,015.30	Facility		$5,015.30	$5,015.30	$5,015.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $747.06 / $1,167.28 / $1,705.72	Professional		$747.06	$1,167.28	$1,705.72
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $1,081.21 / $5,933.54	Professional		$7.36	$1,081.21	$5,933.54
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $7,895.11 / $7,895.11 / $7,895.11	Facility		$7,895.11	$7,895.11	$7,895.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.52 / $901.01 / $8,091.20	Professional		$5.52	$901.01	$8,091.20
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 $803.11 / $1,093.48 / $1,649.39	Professional		$803.11	$1,093.48	$1,649.39