Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,210.00 / $2,173.00 / $4,841.00	Facility		$1,210.00	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.36 / $483.15 / $581.39	Professional		$468.36	$483.15	$581.39
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 $465.69 / $563.82 / $811.44	Professional		$465.69	$563.82	$811.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,661.51 / $1,661.51 / $1,661.51	Facility		$1,661.51	$1,661.51	$1,661.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.91 / $513.12 / $740.05	Professional		$394.91	$513.12	$740.05
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $440.38 / $774.15 / $2,576.36	Professional		$440.38	$774.15	$2,576.36
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,717.57 / $3,585.88 / $3,585.88	Facility		$1,717.57	$3,585.88	$3,585.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $463.56 / $512.89 / $2,576.36	Professional		$463.56	$512.89	$2,576.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,060.00 / $9,042.00	Facility		$1,642.00	$3,060.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $503.44 / $636.72 / $892.37	Professional		$503.44	$636.72	$892.37