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 $858.40 / $858.40 / $2,809.00	Professional		$858.40	$858.40	$2,809.00
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 $816.58 / $990.71 / $1,425.81	Professional		$816.58	$990.71	$1,425.81
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 $691.48 / $948.71 / $1,378.82	Professional		$691.48	$948.71	$1,378.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $981.16 / $3,562.89	Professional		$19.39	$981.16	$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 $13.20 / $806.65 / $4,275.47	Professional		$13.20	$806.65	$4,275.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,000.00 / $9,042.00	Facility		$1,642.00	$3,000.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $777.28 / $1,029.75 / $1,703.00	Professional		$777.28	$1,029.75	$1,703.00