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 $739.35 / $838.10 / $3,994.00	Professional		$739.35	$838.10	$3,994.00
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 $945.15 / $1,130.71 / $1,592.87	Professional		$945.15	$1,130.71	$1,592.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $790.75 / $1,031.86 / $1,498.11	Professional		$790.75	$1,031.86	$1,498.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.79 / $1,111.75 / $2,268.61	Professional		$12.79	$1,111.75	$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 $8.69 / $854.83 / $2,722.34	Professional		$8.69	$854.83	$2,722.34
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 $909.91 / $1,063.58 / $1,621.95	Professional		$909.91	$1,063.58	$1,621.95