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 $638.15 / $710.09 / $3,605.17	Professional		$638.15	$710.09	$3,605.17
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 $767.78 / $828.17 / $1,138.73	Professional		$767.78	$828.17	$1,138.73
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 $594.41 / $845.23 / $1,249.47	Professional		$594.41	$845.23	$1,249.47
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $778.07 / $1,141.44	Professional		$7.52	$778.07	$1,141.44
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 $5.64 / $679.44 / $1,367.18	Professional		$5.64	$679.44	$1,367.18
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $1,998.00	Facility		$200.00	$1,427.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $599.25 / $791.77 / $1,248.67	Professional		$599.25	$791.77	$1,248.67