Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $618.00 / $2,472.00 / $4,473.00	Facility		$618.00	$2,472.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.83 / $342.00 / $540.00	Professional		$162.83	$342.00	$540.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,093.00 / $8,455.00 / $14,510.00	Facility		$6,093.00	$8,455.00	$14,510.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.92 / $278.10 / $357.32	Professional		$204.92	$278.10	$357.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,077.76 / $5,077.76 / $5,077.76	Facility		$5,077.76	$5,077.76	$5,077.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.49 / $404.58 / $732.45	Professional		$195.49	$404.58	$732.45
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $344.42 / $4,644.79	Professional		$2.47	$344.42	$4,644.79
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $7,895.11 / $7,895.11 / $7,895.11	Facility		$7,895.11	$7,895.11	$7,895.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.68 / $237.05 / $7,333.88	Professional		$1.68	$237.05	$7,333.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,644.00 / $9,042.00	Facility		$1,642.00	$3,644.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $384.12 / $558.71 / $846.45	Professional		$384.12	$558.71	$846.45