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 $817.01 / $990.09 / $1,958.46	Professional		$817.01	$990.09	$1,958.46
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 $962.17 / $1,102.01 / $1,764.30	Professional		$962.17	$1,102.01	$1,764.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,264.58 / $1,264.58 / $1,264.58	Facility		$1,264.58	$1,264.58	$1,264.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $771.43 / $1,190.97 / $1,795.22	Professional		$771.43	$1,190.97	$1,795.22
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $1,130.94 / $1,649.29	Professional		$11.20	$1,130.94	$1,649.29
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,163.08 / $3,163.08 / $3,163.08	Facility		$3,163.08	$3,163.08	$3,163.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $1,004.34 / $1,955.31	Professional		$8.40	$1,004.34	$1,955.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,108.33 / $2,940.00 / $7,221.00	Facility		$1,108.33	$2,940.00	$7,221.00
United Facility/Professional Professional Modifier Low / Median / High Price $922.43 / $1,207.94 / $1,894.41	Professional		$922.43	$1,207.94	$1,894.41