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 $745.62 / $1,066.48 / $2,599.00	Professional		$745.62	$1,066.48	$2,599.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $4,589.00 / $6,006.00	Facility		$3,671.00	$4,589.00	$6,006.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $749.32 / $775.49 / $1,273.76	Professional		$749.32	$775.49	$1,273.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,669.80 / $1,669.80 / $1,669.80	Facility		$1,669.80	$1,669.80	$1,669.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $697.82 / $988.12 / $1,591.90	Professional		$697.82	$988.12	$1,591.90
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $1,106.94 / $2,128.73	Professional		$17.28	$1,106.94	$2,128.73
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $4,167.63 / $4,167.63 / $4,167.63	Facility		$4,167.63	$4,167.63	$4,167.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $919.46 / $2,718.69	Professional		$8.64	$919.46	$2,718.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,500.19 / $2,661.00 / $7,542.00	Facility		$1,500.19	$2,661.00	$7,542.00
United Facility/Professional Professional Modifier Low / Median / High Price $715.16 / $896.00 / $1,587.20	Professional		$715.16	$896.00	$1,587.20