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 $710.80 / $755.22 / $1,207.50	Professional		$710.80	$755.22	$1,207.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,877.00 / $5,379.00 / $11,683.30	Facility		$3,877.00	$5,379.00	$11,683.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $810.01 / $979.84 / $1,410.16	Professional		$810.01	$979.84	$1,410.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $686.45 / $924.66 / $1,332.75	Professional		$686.45	$924.66	$1,332.75
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $855.91 / $1,248.21	Professional		$12.88	$855.91	$1,248.21
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $713.26 / $1,069.89	Professional		$9.66	$713.26	$1,069.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,060.00 / $9,042.00	Facility		$1,642.00	$3,060.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $798.13 / $939.59 / $1,432.85	Professional		$798.13	$939.59	$1,432.85