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 $807.73 / $855.70 / $4,607.45	Professional		$807.73	$855.70	$4,607.45
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 $992.04 / $1,057.58 / $1,464.64	Professional		$992.04	$1,057.58	$1,464.64
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 $791.30 / $1,121.38 / $1,661.91	Professional		$791.30	$1,121.38	$1,661.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $1,011.05 / $1,889.33	Professional		$12.48	$1,011.05	$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 $9.36 / $860.14 / $2,576.36	Professional		$9.36	$860.14	$2,576.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $3,569.00 / $10,407.00	Facility		$2,042.00	$3,569.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $780.90 / $1,036.26 / $1,600.84	Professional		$780.90	$1,036.26	$1,600.84