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 $778.96 / $820.20 / $1,183.26	Professional		$778.96	$820.20	$1,183.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $5,123.00 / $8,162.81	Facility		$3,671.00	$5,123.00	$8,162.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $743.76 / $899.69 / $1,294.82	Professional		$743.76	$899.69	$1,294.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $631.13 / $872.34 / $1,273.80	Professional		$631.13	$872.34	$1,273.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $820.27 / $1,196.23	Professional		$15.20	$820.27	$1,196.23
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $683.56 / $1,025.33	Professional		$11.40	$683.56	$1,025.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,940.00 / $7,138.00	Facility		$1,282.00	$2,940.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $771.05 / $925.26 / $1,343.79	Professional		$771.05	$925.26	$1,343.79