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 $407.06 / $511.02 / $2,459.37	Professional		$407.06	$511.02	$2,459.37
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 $405.82 / $425.52 / $597.89	Professional		$405.82	$425.52	$597.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,277.64 / $1,277.64 / $1,277.64	Facility		$1,277.64	$1,277.64	$1,277.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.16 / $519.54 / $847.16	Professional		$370.16	$519.54	$847.16
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $557.69 / $1,459.63	Professional		$12.00	$557.69	$1,459.63
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,520.62 / $2,520.62 / $2,520.62	Facility		$2,520.62	$2,520.62	$2,520.62
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $443.96 / $1,966.85	Professional		$6.00	$443.96	$1,966.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,625.00 / $7,138.00	Facility		$1,282.00	$2,625.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $376.58 / $473.83 / $814.69	Professional		$376.58	$473.83	$814.69