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 $489.95 / $543.17 / $2,775.50	Professional		$489.95	$543.17	$2,775.50
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 $539.75 / $599.12 / $879.25	Professional		$539.75	$599.12	$879.25
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 $451.30 / $668.79 / $959.86	Professional		$451.30	$668.79	$959.86
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $626.26 / $1,889.33	Professional		$6.80	$626.26	$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 $5.09 / $521.85 / $2,576.36	Professional		$5.09	$521.85	$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 $472.12 / $626.72 / $959.51	Professional		$472.12	$626.72	$959.51