Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $2,173.00 / $4,899.00	Facility		$950.00	$2,173.00	$4,899.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.20 / $358.11 / $1,558.14	Professional		$277.20	$358.11	$1,558.14
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 $302.70 / $352.85 / $492.30	Professional		$302.70	$352.85	$492.30
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 $282.79 / $439.11 / $683.34	Professional		$282.79	$439.11	$683.34
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $424.04 / $1,468.64	Professional		$1.50	$424.04	$1,468.64
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 $1.02 / $403.65 / $2,318.91	Professional		$1.02	$403.65	$2,318.91
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,244.00	Facility		$721.00	$2,200.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $346.43 / $455.96 / $706.04	Professional		$346.43	$455.96	$706.04