Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,042.00 / $6,953.00	Facility		$1,642.00	$3,042.00	$6,953.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $702.85 / $715.62 / $3,622.50	Professional		$702.85	$715.62	$3,622.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,214.00 / $3,931.00 / $5,258.00	Facility		$3,214.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $669.85 / $810.29 / $1,166.15	Professional		$669.85	$810.29	$1,166.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,009.94 / $1,009.94 / $1,009.94	Facility		$1,009.94	$1,009.94	$1,009.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $582.72 / $796.66 / $1,130.63	Professional		$582.72	$796.66	$1,130.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $830.34 / $1,360.11	Professional		$12.17	$830.34	$1,360.11
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,046.24 / $2,263.96 / $2,263.96	Facility		$1,046.24	$2,263.96	$2,263.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $662.15 / $1,569.36	Professional		$8.27	$662.15	$1,569.36
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 $664.18 / $826.61 / $1,210.22	Professional		$664.18	$826.61	$1,210.22