Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.00 / $3,509.00 / $7,674.00	Facility		$1,862.00	$3,509.00	$7,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.71 / $186.71 / $1,058.70	Professional		$186.71	$186.71	$1,058.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,214.00 / $3,931.00 / $5,258.00	Facility		$3,214.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.68 / $273.61 / $400.74	Professional		$211.68	$273.61	$400.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $925.49 / $925.49 / $925.49	Facility		$925.49	$925.49	$925.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.44 / $276.17 / $510.70	Professional		$155.44	$276.17	$510.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $238.06 / $1,115.68	Professional		$6.35	$238.06	$1,115.68
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $892.54 / $1,811.70 / $1,811.70	Facility		$892.54	$1,811.70	$1,811.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $192.44 / $1,338.81	Professional		$4.32	$192.44	$1,338.81
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,244.00	Facility		$721.00	$2,200.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $211.11 / $307.85 / $410.28	Professional		$211.11	$307.85	$410.28