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 $710.14 / $796.58 / $3,994.71	Professional		$710.14	$796.58	$3,994.71
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 $823.05 / $900.97 / $1,317.80	Professional		$823.05	$900.97	$1,317.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,681.93 / $4,681.93 / $4,681.93	Facility		$4,681.93	$4,681.93	$4,681.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.47 / $968.04 / $1,433.94	Professional		$628.47	$968.04	$1,433.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $913.18 / $4,244.76	Professional		$6.40	$913.18	$4,244.76
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 $4.80 / $760.98 / $5,788.31	Professional		$4.80	$760.98	$5,788.31
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 $671.15 / $871.46 / $1,395.36	Professional		$671.15	$871.46	$1,395.36