Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $2,173.00 / $4,730.00	Facility		$950.00	$2,173.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.20 / $386.91 / $825.20	Professional		$281.20	$386.91	$825.20
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 $347.96 / $390.36 / $530.95	Professional		$347.96	$390.36	$530.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $745.22 / $745.22 / $745.22	Facility		$745.22	$745.22	$745.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.29 / $512.30 / $807.28	Professional		$306.29	$512.30	$807.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $491.08 / $859.03	Professional		$3.26	$491.08	$859.03
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,790.66 / $1,790.66 / $1,790.66	Facility		$1,790.66	$1,790.66	$1,790.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $441.09 / $1,162.26	Professional		$2.22	$441.09	$1,162.26
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,244.00	Facility		$721.00	$2,200.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $418.81 / $563.44 / $853.66	Professional		$418.81	$563.44	$853.66