Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.00 / $1,713.00 / $4,473.00	Facility		$911.00	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.31 / $210.31 / $339.58	Professional		$210.31	$210.31	$339.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,877.00 / $5,379.00 / $8,190.00	Facility		$3,877.00	$5,379.00	$8,190.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.88 / $236.27 / $339.64	Professional		$135.88	$236.27	$339.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,516.75 / $1,516.75 / $1,516.75	Facility		$1,516.75	$1,516.75	$1,516.75
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $126.28 / $270.92 / $1,684.02	Professional		$126.28	$270.92	$1,684.02
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $114.80 / $1,530.93 / $2,158.16	Facility		$114.80	$1,530.93	$2,158.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $4,794.00 / $10,407.00	Facility		$2,042.00	$4,794.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $205.45 / $255.81 / $399.17	Professional		$205.45	$255.81	$399.17