Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $566.99 / $1,706.00 / $4,473.00	Facility		$566.99	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.05 / $486.25 / $2,111.42	Professional		$367.05	$486.25	$2,111.42
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 $450.67 / $479.40 / $668.85	Professional		$450.67	$479.40	$668.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.46 / $330.46 / $330.46	Facility		$330.46	$330.46	$330.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.12 / $564.82 / $878.83	Professional		$400.12	$564.82	$878.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $476.39 / $806.93	Professional		$4.80	$476.39	$806.93
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 $3.60 / $515.34 / $840.56	Professional		$3.60	$515.34	$840.56
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 $470.58 / $624.80 / $1,001.88	Professional		$470.58	$624.80	$1,001.88