Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,210.00 / $2,173.00 / $4,841.00	Facility		$1,210.00	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $696.68 / $717.71 / $3,331.12	Professional		$696.68	$717.71	$3,331.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,877.00 / $5,379.00 / $8,190.00	Facility		$3,877.00	$5,379.00	$8,190.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $646.35 / $794.58 / $1,143.55	Professional		$646.35	$794.58	$1,143.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,069.49 / $3,069.49 / $3,069.49	Facility		$3,069.49	$3,069.49	$3,069.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $517.50 / $719.31 / $1,045.01	Professional		$517.50	$719.31	$1,045.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $761.36 / $3,949.19	Professional		$9.00	$761.36	$3,949.19
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,159.35 / $6,537.87 / $6,537.87	Facility		$3,159.35	$6,537.87	$6,537.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $627.45 / $4,739.03	Professional		$6.12	$627.45	$4,739.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $4,145.00 / $10,407.00	Facility		$2,042.00	$4,145.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $560.59 / $731.66 / $1,110.16	Professional		$560.59	$731.66	$1,110.16