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 $293.92 / $325.80 / $536.19	Professional		$293.92	$325.80	$536.19
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 $328.58 / $403.93 / $581.33	Professional		$328.58	$403.93	$581.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,761.57 / $1,761.57 / $1,761.57	Facility		$1,761.57	$1,761.57	$1,761.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.79 / $364.18 / $535.69	Professional		$260.79	$364.18	$535.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.12 / $398.68 / $2,268.61	Professional		$5.12	$398.68	$2,268.61
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,814.89 / $3,513.95 / $3,513.95	Facility		$1,814.89	$3,513.95	$3,513.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $323.04 / $2,722.34	Professional		$3.48	$323.04	$2,722.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,625.00 / $7,138.00	Facility		$1,282.00	$2,625.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $289.74 / $365.40 / $569.12	Professional		$289.74	$365.40	$569.12