Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.25 / $3,459.00 / $5,132.00	Facility		$543.25	$3,459.00	$5,132.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,085.10 / $1,085.11 / $1,128.95	Professional		$1,085.10	$1,085.11	$1,128.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,169.00 / $6,151.00 / $10,920.00	Facility		$4,169.00	$6,151.00	$10,920.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $667.23 / $756.19 / $821.95	Professional		$667.23	$756.19	$821.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,806.00 / $17,045.00 / $17,152.00	Facility		$13,806.00	$17,045.00	$17,152.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $936.00 / $1,450.12 / $1,872.00	Professional		$936.00	$1,450.12	$1,872.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $350.00 / $425.00	Professional		$200.00	$350.00	$425.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $6,448.02 / $6,448.02 / $6,448.02	Facility		$6,448.02	$6,448.02	$6,448.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,248.00 / $3,569.00 / $10,407.00	Facility		$1,248.00	$3,569.00	$10,407.00