Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,210.00 / $2,173.00 / $4,841.00	Facility		$1,210.00	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $714.40 / $798.36 / $4,073.69	Professional		$714.40	$798.36	$4,073.69
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 $811.04 / $886.97 / $1,281.77	Professional		$811.04	$886.97	$1,281.77
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 $643.70 / $989.84 / $1,491.15	Professional		$643.70	$989.84	$1,491.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $862.22 / $1,889.33	Professional		$18.00	$862.22	$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 $13.50 / $760.24 / $2,576.36	Professional		$13.50	$760.24	$2,576.36
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 $643.52 / $897.60 / $1,413.72	Professional		$643.52	$897.60	$1,413.72