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 $156.10 / $161.05 / $708.80	Professional		$156.10	$161.05	$708.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,886.00 / $6,164.00 / $9,964.00	Facility		$4,886.00	$6,164.00	$9,964.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.50 / $194.25 / $264.56	Professional		$136.50	$194.25	$264.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,606.01 / $4,606.01 / $4,606.01	Facility		$4,606.01	$4,606.01	$4,606.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.97 / $170.61 / $260.43	Professional		$131.97	$170.61	$260.43
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $178.43 / $4,326.72	Professional		$1.76	$178.43	$4,326.72
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,328.25 / $5,974.27 / $5,974.27	Facility		$3,328.25	$5,974.27	$5,974.27
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $129.44 / $4,992.38	Professional		$1.20	$129.44	$4,992.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.00 / $4,776.00 / $11,845.00	Facility		$2,818.00	$4,776.00	$11,845.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.80 / $181.90 / $268.39	Professional		$145.80	$181.90	$268.39