Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.39 / $4,396.00 / $10,300.00	Facility		$732.39	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $608.20 / $732.39 / $3,268.87	Professional		$608.20	$732.39	$3,268.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $4,589.00 / $6,006.00	Facility		$3,671.00	$4,589.00	$6,006.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $637.55 / $813.04 / $1,086.80	Professional		$637.55	$813.04	$1,086.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,118.63 / $2,118.63 / $2,118.63	Facility		$2,118.63	$2,118.63	$2,118.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $545.65 / $768.81 / $1,076.66	Professional		$545.65	$768.81	$1,076.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $692.06 / $2,204.10	Professional		$6.17	$692.06	$2,204.10
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,695.46 / $3,478.55 / $3,478.55	Facility		$1,695.46	$3,478.55	$3,478.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $535.12 / $2,543.19	Professional		$4.20	$535.12	$2,543.19
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 $604.49 / $773.57 / $1,166.14	Professional		$604.49	$773.57	$1,166.14