Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.89 / $2,366.00 / $4,730.00	Facility		$895.89	$2,366.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.60 / $576.57 / $2,725.00	Professional		$249.60	$576.57	$2,725.00
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 $649.27 / $711.24 / $1,022.41	Professional		$649.27	$711.24	$1,022.41
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 $564.34 / $805.10 / $1,242.54	Professional		$564.34	$805.10	$1,242.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $715.08 / $1,889.33	Professional		$13.68	$715.08	$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 $10.26 / $579.91 / $2,576.36	Professional		$10.26	$579.91	$2,576.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,625.00 / $4,661.00 / $11,845.00	Facility		$2,625.00	$4,661.00	$11,845.00
United Facility/Professional Professional Modifier Low / Median / High Price $554.40 / $725.33 / $1,140.33	Professional		$554.40	$725.33	$1,140.33