Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.00 / $2,599.00 / $10,300.00	Facility		$1,375.00	$2,599.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $742.20 / $833.21 / $3,286.61	Professional		$742.20	$833.21	$3,286.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,238.00 / $9,321.00 / $14,632.00	Facility		$7,238.00	$9,321.00	$14,632.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $755.41 / $913.79 / $1,315.11	Professional		$755.41	$913.79	$1,315.11
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 $634.79 / $824.89 / $1,214.48	Professional		$634.79	$824.89	$1,214.48
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $891.01 / $3,562.89	Professional		$17.64	$891.01	$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 $12.00 / $755.94 / $4,275.47	Professional		$12.00	$755.94	$4,275.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $4,145.00 / $17,187.00	Facility		$1,872.00	$4,145.00	$17,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $752.65 / $918.55 / $1,471.27	Professional		$752.65	$918.55	$1,471.27