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 $302.18 / $312.43 / $1,728.21	Professional		$302.18	$312.43	$1,728.21
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 $369.18 / $403.02 / $544.82	Professional		$369.18	$403.02	$544.82
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 $273.76 / $394.82 / $566.49	Professional		$273.76	$394.82	$566.49
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $361.43 / $1,889.33	Professional		$4.24	$361.43	$1,889.33
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,585.88 / $3,585.88 / $3,585.88	Facility		$3,585.88	$3,585.88	$3,585.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.18 / $327.45 / $2,576.36	Professional		$3.18	$327.45	$2,576.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,940.00 / $7,138.00	Facility		$1,282.00	$2,940.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $293.88 / $379.20 / $597.24	Professional		$293.88	$379.20	$597.24