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 $647.12 / $647.12 / $3,338.94	Professional		$647.12	$647.12	$3,338.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,877.00 / $5,379.00 / $8,190.00	Facility		$3,877.00	$5,379.00	$8,190.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $614.36 / $747.86 / $1,076.31	Professional		$614.36	$747.86	$1,076.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,653.10 / $2,653.10 / $2,653.10	Facility		$2,653.10	$2,653.10	$2,653.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.41 / $719.33 / $1,051.03	Professional		$528.41	$719.33	$1,051.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $741.12 / $3,562.89	Professional		$12.61	$741.12	$3,562.89
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,850.31 / $5,618.32 / $5,618.32	Facility		$2,850.31	$5,618.32	$5,618.32
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.58 / $612.35 / $4,275.47	Professional		$8.58	$612.35	$4,275.47
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 $585.60 / $781.30 / $1,467.00	Professional		$585.60	$781.30	$1,467.00