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 $429.67 / $429.67 / $2,219.59	Professional		$429.67	$429.67	$2,219.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $410.83 / $496.96 / $715.22	Professional		$410.83	$496.96	$715.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $332.41 / $332.41 / $332.41	Facility		$332.41	$332.41	$332.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.38 / $485.93 / $789.19	Professional		$354.38	$485.93	$789.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $429.11 / $649.55	Professional		$4.59	$429.11	$649.55
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $324.36 / $737.67 / $737.67	Facility		$324.36	$737.67	$737.67
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.12 / $407.91 / $577.11	Professional		$3.12	$407.91	$577.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,625.00 / $7,138.00	Facility		$1,282.00	$2,625.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $435.97 / $570.01 / $798.42	Professional		$435.97	$570.01	$798.42