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 $181.68 / $194.77 / $1,004.76	Professional		$181.68	$194.77	$1,004.76
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 $188.37 / $217.94 / $318.77	Professional		$188.37	$217.94	$318.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.66 / $691.66 / $691.66	Facility		$691.66	$691.66	$691.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.76 / $221.18 / $344.00	Professional		$155.76	$221.18	$344.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.80 / $222.50 / $770.00	Professional		$8.80	$222.50	$770.00
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 $6.60 / $194.28 / $1,032.47	Professional		$6.60	$194.28	$1,032.47
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $1,967.00 / $6,244.00	Facility		$721.00	$1,967.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.80 / $206.06 / $339.57	Professional		$160.80	$206.06	$339.57