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 $662.26 / $704.98 / $3,905.91	Professional		$662.26	$704.98	$3,905.91
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 $734.10 / $815.68 / $1,232.80	Professional		$734.10	$815.68	$1,232.80
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 $632.41 / $906.00 / $1,278.61	Professional		$632.41	$906.00	$1,278.61
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $824.01 / $1,889.33	Professional		$8.00	$824.01	$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 $6.00 / $702.09 / $2,576.36	Professional		$6.00	$702.09	$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 $653.77 / $849.91 / $1,311.00	Professional		$653.77	$849.91	$1,311.00