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 $551.27 / $590.29 / $621.70	Professional		$551.27	$590.29	$621.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,432.00 / $6,151.00 / $10,920.00	Facility		$4,432.00	$6,151.00	$10,920.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $587.95 / $711.22 / $1,023.57	Professional		$587.95	$711.22	$1,023.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,009.49 / $3,009.49 / $3,009.49	Facility		$3,009.49	$3,009.49	$3,009.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $498.23 / $676.96 / $941.96	Professional		$498.23	$676.96	$941.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.70 / $700.06 / $3,956.18	Professional		$12.70	$700.06	$3,956.18
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,164.94 / $6,448.02 / $6,448.02	Facility		$3,164.94	$6,448.02	$6,448.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $578.37 / $4,747.41	Professional		$8.64	$578.37	$4,747.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.00 / $4,776.00 / $11,845.00	Facility		$2,818.00	$4,776.00	$11,845.00
United Facility/Professional Professional Modifier Low / Median / High Price $572.01 / $695.36 / $1,058.22	Professional		$572.01	$695.36	$1,058.22