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 $496.98 / $603.47 / $766.85	Professional		$496.98	$603.47	$766.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,931.00 / $5,258.00	Facility		$3,072.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $525.69 / $748.13 / $989.22	Professional		$525.69	$748.13	$989.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,671.54 / $1,671.54 / $1,671.54	Facility		$1,671.54	$1,671.54	$1,671.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $481.17 / $615.41 / $871.94	Professional		$481.17	$615.41	$871.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $625.22 / $2,204.10	Professional		$12.35	$625.22	$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 $8.40 / $499.23 / $2,543.19	Professional		$8.40	$499.23	$2,543.19
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,925.00 / $4,715.00	Facility		$408.00	$1,925.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $555.73 / $755.08 / $1,041.16	Professional		$555.73	$755.08	$1,041.16