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 $535.77 / $596.84 / $3,049.30	Professional		$535.77	$596.84	$3,049.30
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 $567.40 / $662.76 / $961.55	Professional		$567.40	$662.76	$961.55
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 $478.70 / $694.55 / $1,054.48	Professional		$478.70	$694.55	$1,054.48
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $651.59 / $1,889.33	Professional		$10.16	$651.59	$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 $7.62 / $570.33 / $2,576.36	Professional		$7.62	$570.33	$2,576.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,625.00 / $7,138.00	Facility		$1,282.00	$2,625.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $503.70 / $644.91 / $998.63	Professional		$503.70	$644.91	$998.63