Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,210.00 / $2,173.00 / $4,841.00	Facility		$1,210.00	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.95 / $455.06 / $2,514.25	Professional		$405.95	$455.06	$2,514.25
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 $491.50 / $608.51 / $754.42	Professional		$491.50	$608.51	$754.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $973.17 / $973.17 / $973.17	Facility		$973.17	$973.17	$973.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.80 / $580.71 / $814.31	Professional		$329.80	$580.71	$814.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $512.54 / $1,089.65	Professional		$4.80	$512.54	$1,089.65
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,158.16 / $2,158.16 / $2,158.16	Facility		$2,158.16	$2,158.16	$2,158.16
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $446.76 / $1,485.89	Professional		$3.60	$446.76	$1,485.89
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 $405.00 / $548.38 / $850.50	Professional		$405.00	$548.38	$850.50