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 $662.24 / $740.03 / $3,770.11	Professional		$662.24	$740.03	$3,770.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $4,589.00 / $6,006.00	Facility		$3,671.00	$4,589.00	$6,006.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $702.37 / $858.82 / $1,196.29	Professional		$702.37	$858.82	$1,196.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,661.51 / $1,661.51 / $1,661.51	Facility		$1,661.51	$1,661.51	$1,661.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.93 / $899.57 / $1,356.96	Professional		$663.93	$899.57	$1,356.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $832.85 / $1,889.33	Professional		$14.40	$832.85	$1,889.33
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,585.88 / $3,585.88 / $3,585.88	Facility		$3,585.88	$3,585.88	$3,585.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $704.77 / $2,576.36	Professional		$10.80	$704.77	$2,576.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.59 / $2,511.00 / $4,718.00	Facility		$1,479.59	$2,511.00	$4,718.00
United Facility/Professional Professional Modifier Low / Median / High Price $637.14 / $843.99 / $1,308.51	Professional		$637.14	$843.99	$1,308.51