Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $829.69 / $1,706.00 / $4,473.00	Facility		$829.69	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.45 / $791.34 / $3,715.08	Professional		$655.45	$791.34	$3,715.08
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 $721.12 / $814.09 / $1,200.83	Professional		$721.12	$814.09	$1,200.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.59 / $644.59 / $644.59	Facility		$644.59	$644.59	$644.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $555.05 / $901.71 / $1,412.40	Professional		$555.05	$901.71	$1,412.40
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $827.44 / $1,269.19	Professional		$6.88	$827.44	$1,269.19
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,637.08 / $1,637.08 / $1,637.08	Facility		$1,637.08	$1,637.08	$1,637.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $822.78 / $1,304.69	Professional		$4.68	$822.78	$1,304.69
United Facility/Professional Facility Modifier Low / Median / High Price $571.88 / $1,967.00 / $6,244.00	Facility		$571.88	$1,967.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $639.15 / $855.82 / $1,486.20	Professional		$639.15	$855.82	$1,486.20