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 $960.42 / $980.41 / $2,809.00	Professional		$960.42	$980.41	$2,809.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,931.00 / $5,258.00	Facility		$3,072.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $916.88 / $1,109.10 / $1,596.21	Professional		$916.88	$1,109.10	$1,596.21
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 $782.13 / $1,095.34 / $1,620.69	Professional		$782.13	$1,095.34	$1,620.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.11 / $1,103.54 / $2,248.98	Professional		$14.11	$1,103.54	$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 $9.60 / $904.36 / $2,698.77	Professional		$9.60	$904.36	$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 $936.30 / $1,157.73 / $1,663.43	Professional		$936.30	$1,157.73	$1,663.43