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 $641.23 / $715.24 / $3,643.57	Professional		$641.23	$715.24	$3,643.57
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 $777.27 / $836.64 / $1,150.38	Professional		$777.27	$836.64	$1,150.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,658.67 / $4,658.67 / $4,658.67	Facility		$4,658.67	$4,658.67	$4,658.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $623.25 / $875.47 / $1,288.00	Professional		$623.25	$875.47	$1,288.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $784.15 / $4,244.76	Professional		$12.00	$784.15	$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 $9.00 / $682.58 / $5,788.31	Professional		$9.00	$682.58	$5,788.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $4,145.00 / $10,407.00	Facility		$2,042.00	$4,145.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $608.70 / $803.10 / $1,238.80	Professional		$608.70	$803.10	$1,238.80