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 $982.16 / $1,061.36 / $5,204.64	Professional		$982.16	$1,061.36	$5,204.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,963.00 / $19,737.00 / $22,182.00	Facility		$11,963.00	$19,737.00	$22,182.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $970.21 / $1,355.06 / $1,794.78	Professional		$970.21	$1,355.06	$1,794.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,339.00 / $21,339.00 / $21,339.00	Facility		$21,339.00	$21,339.00	$21,339.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.79 / $1,158.41 / $1,722.72	Professional		$839.79	$1,158.41	$1,722.72
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.89 / $16.80 / $937.97	Professional		$1.89	$16.80	$937.97
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $12.60 / $12.60	Professional		$12.60	$12.60	$12.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,061.00 / $2,606.00 / $21,228.00	Facility		$1,061.00	$2,606.00	$21,228.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,017.72 / $1,296.35 / $1,894.68	Professional		$1,017.72	$1,296.35	$1,894.68