Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $591.50 / $2,472.00 / $4,473.00	Facility		$591.50	$2,472.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.02 / $473.37 / $1,318.79	Professional		$251.02	$473.37	$1,318.79
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 $295.70 / $552.46 / $670.46	Professional		$295.70	$552.46	$670.46
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 $355.16 / $603.76 / $970.41	Professional		$355.16	$603.76	$970.41
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $444.71 / $1,631.69	Professional		$2.21	$444.71	$1,631.69
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 $1.50 / $341.75 / $2,576.36	Professional		$1.50	$341.75	$2,576.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,625.00 / $7,138.00	Facility		$1,282.00	$2,625.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $557.79 / $734.77 / $1,271.34	Professional		$557.79	$734.77	$1,271.34