Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,150.00 / $2,809.00 / $10,300.00	Facility		$1,150.00	$2,809.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.67 / $692.54 / $2,171.41	Professional		$468.67	$692.54	$2,171.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,093.00 / $8,455.00 / $14,510.00	Facility		$6,093.00	$8,455.00	$14,510.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $514.37 / $570.95 / $854.20	Professional		$514.37	$570.95	$854.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,663.43 / $4,663.43 / $4,663.43	Facility		$4,663.43	$4,663.43	$4,663.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $516.29 / $811.82 / $1,331.62	Professional		$516.29	$811.82	$1,331.62
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $770.21 / $4,644.79	Professional		$6.17	$770.21	$4,644.79
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $7,895.11 / $7,895.11 / $7,895.11	Facility		$7,895.11	$7,895.11	$7,895.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $716.99 / $7,333.88	Professional		$4.20	$716.99	$7,333.88
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 $635.41 / $875.16 / $1,488.75	Professional		$635.41	$875.16	$1,488.75