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 $517.50 / $517.50 / $977.60	Professional		$517.50	$517.50	$977.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,452.00 / $5,379.00 / $8,190.00	Facility		$4,452.00	$5,379.00	$8,190.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,142.23 / $1,456.84 / $2,620.67	Professional		$1,142.23	$1,456.84	$2,620.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $791.01 / $1,646.00	Professional		$50.00	$791.01	$1,646.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $5.60 / $560.00	Professional		$4.90	$5.60	$560.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $4.20 / $4.20	Professional		$4.20	$4.20	$4.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $4,145.00 / $10,407.00	Facility		$2,042.00	$4,145.00	$10,407.00