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 $370.82 / $406.48 / $2,153.44	Professional		$370.82	$406.48	$2,153.44
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 $409.00 / $494.58 / $700.73	Professional		$409.00	$494.58	$700.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,467.17 / $1,467.17 / $1,467.17	Facility		$1,467.17	$1,467.17	$1,467.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.93 / $491.46 / $705.13	Professional		$360.93	$491.46	$705.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $476.06 / $1,700.53	Professional		$12.00	$476.06	$1,700.53
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,584.18 / $3,584.18 / $3,584.18	Facility		$3,584.18	$3,584.18	$3,584.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $395.67 / $2,318.91	Professional		$9.00	$395.67	$2,318.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,940.00 / $7,138.00	Facility		$1,282.00	$2,940.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $358.73 / $472.15 / $731.43	Professional		$358.73	$472.15	$731.43