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 $410.52 / $459.56 / $2,018.00	Professional		$410.52	$459.56	$2,018.00
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 $530.27 / $564.07 / $785.93	Professional		$530.27	$564.07	$785.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,264.58 / $1,264.58 / $1,264.58	Facility		$1,264.58	$1,264.58	$1,264.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.73 / $547.90 / $833.26	Professional		$386.73	$547.90	$833.26
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $533.87 / $1,433.89	Professional		$5.60	$533.87	$1,433.89
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,163.08 / $3,163.08 / $3,163.08	Facility		$3,163.08	$3,163.08	$3,163.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $455.57 / $1,955.31	Professional		$4.20	$455.57	$1,955.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,947.00 / $7,221.00	Facility		$1,282.00	$2,947.00	$7,221.00
United Facility/Professional Professional Modifier Low / Median / High Price $434.00 / $583.34 / $878.62	Professional		$434.00	$583.34	$878.62