Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,042.00 / $6,953.00	Facility		$1,642.00	$3,042.00	$6,953.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $566.33 / $711.12 / $3,416.83	Professional		$566.33	$711.12	$3,416.83
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 $565.08 / $593.24 / $830.90	Professional		$565.08	$593.24	$830.90
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 $462.32 / $698.78 / $1,201.00	Professional		$462.32	$698.78	$1,201.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $20.16 / $792.68 / $2,017.58	Professional		$20.16	$792.68	$2,017.58
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 $10.08 / $618.04 / $2,718.69	Professional		$10.08	$618.04	$2,718.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,000.00 / $9,042.00	Facility		$1,642.00	$3,000.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $522.26 / $657.95 / $1,133.36	Professional		$522.26	$657.95	$1,133.36