Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,150.00 / $2,599.00 / $4,905.00	Facility		$1,150.00	$2,599.00	$4,905.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.14 / $477.66 / $1,715.66	Professional		$304.14	$477.66	$1,715.66
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 $322.60 / $371.16 / $561.63	Professional		$322.60	$371.16	$561.63
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 $285.95 / $498.96 / $824.00	Professional		$285.95	$498.96	$824.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $521.72 / $867.70	Professional		$12.35	$521.72	$867.70
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 $8.40 / $468.71 / $1,032.47	Professional		$8.40	$468.71	$1,032.47
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,415.00 / $6,244.00	Facility		$721.00	$2,415.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $392.62 / $543.94 / $847.29	Professional		$392.62	$543.94	$847.29