Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.00 / $2,472.00 / $5,923.00	Facility		$1,375.00	$2,472.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.24 / $1,706.20 / $3,799.61	Professional		$150.24	$1,706.20	$3,799.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,078.00 / $7,046.00 / $13,100.00	Facility		$5,078.00	$7,046.00	$13,100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.57 / $1,684.51 / $4,317.27	Professional		$159.57	$1,684.51	$4,317.27
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $2,382.00 / $2,802.35 / $3,113.73	Professional	50	$2,382.00	$2,802.35	$3,113.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,491.34 / $1,491.34 / $1,491.34	Facility		$1,491.34	$1,491.34	$1,491.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.05 / $1,821.08 / $4,104.78	Professional		$140.05	$1,821.08	$4,104.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $115.53 / $1,486.72 / $3,250.46	Professional		$115.53	$1,486.72	$3,250.46
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,250.46 / $7,650.58 / $7,650.58	Facility		$3,250.46	$7,650.58	$7,650.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $121.61 / $137.91 / $2,347.46	Professional		$121.61	$137.91	$2,347.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,947.00 / $7,221.00	Facility		$1,282.00	$2,947.00	$7,221.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,877.59 / $2,868.49 / $5,770.43	Professional		$1,877.59	$2,868.49	$5,770.43