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 $642.98 / $745.88 / $1,002.85	Professional		$642.98	$745.88	$1,002.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,877.00 / $5,379.00 / $26,772.00	Facility		$3,877.00	$5,379.00	$26,772.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $652.54 / $789.35 / $1,086.61	Professional		$652.54	$789.35	$1,086.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,166.50 / $3,166.50 / $3,166.50	Facility		$3,166.50	$3,166.50	$3,166.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.45 / $724.80 / $1,065.54	Professional		$537.45	$724.80	$1,065.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $773.89 / $5,482.02	Professional		$7.50	$773.89	$5,482.02
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $4,216.93 / $5,974.27 / $5,974.27	Facility		$4,216.93	$5,974.27	$5,974.27
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $631.03 / $6,325.41	Professional		$5.09	$631.03	$6,325.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,625.00 / $4,776.00 / $28,304.00	Facility		$2,625.00	$4,776.00	$28,304.00
United Facility/Professional Professional Modifier Low / Median / High Price $590.29 / $758.09 / $1,192.59	Professional		$590.29	$758.09	$1,192.59