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 $821.41 / $995.95 / $1,499.96	Professional		$821.41	$995.95	$1,499.96
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 $814.52 / $866.54 / $1,190.89	Professional		$814.52	$866.54	$1,190.89
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 $754.67 / $1,060.07 / $1,696.00	Professional		$754.67	$1,060.07	$1,696.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $23.76 / $1,054.31 / $1,457.66	Professional		$23.76	$1,054.31	$1,457.66
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 $11.88 / $882.14 / $1,704.81	Professional		$11.88	$882.14	$1,704.81
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 $785.84 / $947.17 / $1,571.68	Professional		$785.84	$947.17	$1,571.68