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 $386.91 / $1,446.11 / $1,732.64	Professional		$386.91	$1,446.11	$1,732.64
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 $406.35 / $1,063.33 / $2,756.75	Professional		$406.35	$1,063.33	$2,756.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.13 / $2,277.13 / $2,277.13	Facility		$2,277.13	$2,277.13	$2,277.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.61 / $1,510.90 / $2,085.73	Professional		$309.61	$1,510.90	$2,085.73
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $1,128.51 / $2,308.65	Professional		$190.00	$1,128.51	$2,308.65
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,308.65 / $3,478.55 / $3,478.55	Facility		$2,308.65	$3,478.55	$3,478.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $301.22 / $451.83 / $1,781.85	Professional		$301.22	$451.83	$1,781.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,060.00 / $9,042.00	Facility		$1,642.00	$3,060.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,378.44 / $2,034.11 / $2,738.84	Professional		$1,378.44	$2,034.11	$2,738.84