Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $770.00 / $1,713.00 / $4,473.00	Facility		$770.00	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.23 / $327.77 / $1,542.00	Professional		$305.23	$327.77	$1,542.00
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 $381.69 / $406.02 / $565.11	Professional		$381.69	$406.02	$565.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $745.22 / $745.22 / $745.22	Facility		$745.22	$745.22	$745.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.01 / $391.55 / $594.86	Professional		$277.01	$391.55	$594.86
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $382.87 / $852.32	Professional		$4.00	$382.87	$852.32
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,790.66 / $1,790.66 / $1,790.66	Facility		$1,790.66	$1,790.66	$1,790.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $330.94 / $1,162.26	Professional		$3.00	$330.94	$1,162.26
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,925.00 / $4,715.00	Facility		$408.00	$1,925.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $310.62 / $417.96 / $612.37	Professional		$310.62	$417.96	$612.37