Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.80 / $1,706.00 / $4,473.00	Facility		$384.80	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.39 / $350.17 / $1,762.87	Professional		$316.39	$350.17	$1,762.87
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 $347.73 / $383.55 / $557.72	Professional		$347.73	$383.55	$557.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $882.01 / $882.01 / $882.01	Facility		$882.01	$882.01	$882.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.20 / $427.23 / $634.91	Professional		$289.20	$427.23	$634.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $443.79 / $865.88	Professional		$3.09	$443.79	$865.88
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,768.74 / $1,768.74 / $1,768.74	Facility		$1,768.74	$1,768.74	$1,768.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $364.12 / $1,367.18	Professional		$2.10	$364.12	$1,367.18
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,925.00 / $4,715.00	Facility		$408.00	$1,925.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $291.30 / $399.59 / $610.75	Professional		$291.30	$399.59	$610.75