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 $487.71 / $616.64 / $1,362.09	Professional		$487.71	$616.64	$1,362.09
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 $488.98 / $514.03 / $720.41	Professional		$488.98	$514.03	$720.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,079.51 / $1,079.51 / $1,079.51	Facility		$1,079.51	$1,079.51	$1,079.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.95 / $605.02 / $1,051.31	Professional		$400.95	$605.02	$1,051.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $25.92 / $683.39 / $1,420.68	Professional		$25.92	$683.39	$1,420.68
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,578.34 / $2,578.34 / $2,578.34	Facility		$2,578.34	$2,578.34	$2,578.34
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $535.16 / $1,704.81	Professional		$12.96	$535.16	$1,704.81
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 $444.19 / $569.84 / $999.18	Professional		$444.19	$569.84	$999.18