Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.60 / $1,706.00 / $4,473.00	Facility		$602.60	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $465.41 / $570.22 / $1,061.11	Professional		$465.41	$570.22	$1,061.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,214.00 / $3,931.00 / $5,258.00	Facility		$3,214.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $455.40 / $575.17 / $918.60	Professional		$455.40	$575.17	$918.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $366.20 / $366.20 / $366.20	Facility		$366.20	$366.20	$366.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $442.08 / $672.51 / $1,062.70	Professional		$442.08	$672.51	$1,062.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $356.63 / $627.23 / $1,026.09	Professional		$356.63	$627.23	$1,026.09
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 $448.69 / $563.10 / $673.04	Professional		$448.69	$563.10	$673.04
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,317.00	Facility		$721.00	$2,200.00	$6,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $603.29 / $738.00 / $1,202.21	Professional		$603.29	$738.00	$1,202.21