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 $656.82 / $733.27 / $3,734.55	Professional		$656.82	$733.27	$3,734.55
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 $792.81 / $856.80 / $1,178.09	Professional		$792.81	$856.80	$1,178.09
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 $620.71 / $897.17 / $1,294.07	Professional		$620.71	$897.17	$1,294.07
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $819.09 / $1,889.33	Professional		$11.04	$819.09	$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 $8.27 / $699.09 / $2,576.36	Professional		$8.27	$699.09	$2,576.36
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 $633.91 / $841.05 / $1,295.31	Professional		$633.91	$841.05	$1,295.31