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 $503.95 / $560.52 / $2,841.64	Professional		$503.95	$560.52	$2,841.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,720.00 / $7,679.15	Facility		$1,529.00	$3,720.00	$7,679.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $584.13 / $648.38 / $900.90	Professional		$584.13	$648.38	$900.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.95 / $624.40 / $959.37	Professional		$443.95	$624.40	$959.37
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $610.09 / $1,002.60	Professional		$6.40	$610.09	$1,002.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $762.62 / $1,367.18	Professional		$4.80	$762.62	$1,367.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,060.00 / $9,042.00	Facility		$1,642.00	$3,060.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $467.10 / $607.99 / $984.06	Professional		$467.10	$607.99	$984.06