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 $907.58 / $967.33 / $5,379.05	Professional		$907.58	$967.33	$5,379.05
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 $1,087.71 / $1,258.10 / $1,696.48	Professional		$1,087.71	$1,258.10	$1,696.48
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 $850.75 / $1,218.67 / $1,761.59	Professional		$850.75	$1,218.67	$1,761.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $1,122.90 / $1,889.33	Professional		$14.40	$1,122.90	$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 $10.80 / $961.40 / $2,576.36	Professional		$10.80	$961.40	$2,576.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,000.00 / $9,042.00	Facility		$1,642.00	$3,000.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $823.29 / $1,058.51 / $1,672.45	Professional		$823.29	$1,058.51	$1,672.45