Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,042.00 / $6,953.00	Facility		$1,642.00	$3,042.00	$6,953.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.88 / $640.67 / $3,269.87	Professional		$575.88	$640.67	$3,269.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,931.00 / $5,258.00	Facility		$3,072.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $604.85 / $703.49 / $1,028.96	Professional		$604.85	$703.49	$1,028.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $882.01 / $882.01 / $882.01	Facility		$882.01	$882.01	$882.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.48 / $730.81 / $1,195.86	Professional		$507.48	$730.81	$1,195.86
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $701.11 / $1,069.20	Professional		$9.19	$701.11	$1,069.20
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,768.74 / $1,768.74 / $1,768.74	Facility		$1,768.74	$1,768.74	$1,768.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.90 / $613.12 / $1,367.18	Professional		$6.90	$613.12	$1,367.18
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 $523.34 / $656.77 / $1,036.73	Professional		$523.34	$656.77	$1,036.73