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 $530.94 / $587.85 / $2,994.37	Professional		$530.94	$587.85	$2,994.37
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 $647.02 / $671.73 / $937.82	Professional		$647.02	$671.73	$937.82
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 $459.51 / $679.74 / $1,036.70	Professional		$459.51	$679.74	$1,036.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $680.24 / $1,042.46	Professional		$7.36	$680.24	$1,042.46
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 $5.52 / $565.76 / $1,367.18	Professional		$5.52	$565.76	$1,367.18
United Facility/Professional Facility Modifier Low / Median / High Price $859.19 / $2,625.00 / $4,718.00	Facility		$859.19	$2,625.00	$4,718.00
United Facility/Professional Professional Modifier Low / Median / High Price $482.15 / $637.04 / $982.67	Professional		$482.15	$637.04	$982.67