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 $416.66 / $435.87 / $2,360.92	Professional		$416.66	$435.87	$2,360.92
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 $495.30 / $538.90 / $744.00	Professional		$495.30	$538.90	$744.00
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 $385.95 / $552.41 / $814.26	Professional		$385.95	$552.41	$814.26
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.76 / $506.98 / $1,889.33	Professional		$5.76	$506.98	$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 $4.32 / $446.40 / $2,576.36	Professional		$4.32	$446.40	$2,576.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,940.00 / $7,138.00	Facility		$1,282.00	$2,940.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $373.02 / $517.33 / $943.16	Professional		$373.02	$517.33	$943.16