Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,210.00 / $2,173.00 / $4,841.00	Facility		$1,210.00	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.46 / $496.46 / $2,564.30	Professional		$496.46	$496.46	$2,564.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $4,589.00 / $6,006.00	Facility		$3,671.00	$4,589.00	$6,006.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $471.73 / $573.89 / $825.93	Professional		$471.73	$573.89	$825.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,741.63 / $1,741.63 / $1,741.63	Facility		$1,741.63	$1,741.63	$1,741.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.02 / $562.29 / $805.68	Professional		$405.02	$562.29	$805.68
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $573.54 / $2,248.98	Professional		$10.76	$573.54	$2,248.98
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,799.18 / $3,811.73 / $3,811.73	Facility		$1,799.18	$3,811.73	$3,811.73
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.32 / $470.72 / $2,698.77	Professional		$7.32	$470.72	$2,698.77
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 $490.36 / $585.01 / $854.60	Professional		$490.36	$585.01	$854.60