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 $739.35 / $740.85 / $3,751.88	Professional		$739.35	$740.85	$3,751.88
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 $693.49 / $838.88 / $1,207.30	Professional		$693.49	$838.88	$1,207.30
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 $583.15 / $824.71 / $1,209.19	Professional		$583.15	$824.71	$1,209.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $830.08 / $2,248.98	Professional		$8.82	$830.08	$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 $6.00 / $686.54 / $2,698.77	Professional		$6.00	$686.54	$2,698.77
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 $688.08 / $842.14 / $1,252.91	Professional		$688.08	$842.14	$1,252.91