Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $702.40 / $2,173.00 / $4,841.00	Facility		$702.40	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.54 / $659.29 / $3,141.73	Professional		$532.54	$659.29	$3,141.73
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 $448.59 / $622.30 / $1,056.59	Professional		$448.59	$622.30	$1,056.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,032.25 / $1,032.25 / $1,032.25	Facility		$1,032.25	$1,032.25	$1,032.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.54 / $664.81 / $1,109.31	Professional		$478.54	$664.81	$1,109.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $516.02 / $820.20 / $1,296.30	Professional		$516.02	$820.20	$1,296.30
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,021.63 / $2,021.63 / $2,021.63	Facility		$2,021.63	$2,021.63	$2,021.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $543.17 / $694.63 / $1,146.77	Professional		$543.17	$694.63	$1,146.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,331.00 / $7,138.00	Facility		$1,282.00	$2,331.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $613.12 / $744.53 / $1,299.70	Professional		$613.12	$744.53	$1,299.70