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 $695.68 / $757.26 / $3,954.47	Professional		$695.68	$757.26	$3,954.47
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 $773.16 / $858.20 / $1,246.83	Professional		$773.16	$858.20	$1,246.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,990.43 / $4,990.43 / $4,990.43	Facility		$4,990.43	$4,990.43	$4,990.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.60 / $941.13 / $1,369.67	Professional		$628.60	$941.13	$1,369.67
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.08 / $841.51 / $5,732.08	Professional		$14.08	$841.51	$5,732.08
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 $10.56 / $740.49 / $7,816.47	Professional		$10.56	$740.49	$7,816.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,415.00 / $4,776.00 / $11,845.00	Facility		$2,415.00	$4,776.00	$11,845.00
United Facility/Professional Professional Modifier Low / Median / High Price $667.82 / $848.40 / $1,361.16	Professional		$667.82	$848.40	$1,361.16