Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.70 / $2,472.00 / $5,923.00	Facility		$325.70	$2,472.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.36 / $290.95 / $1,466.00	Professional		$261.36	$290.95	$1,466.00
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 $274.70 / $315.02 / $475.85	Professional		$274.70	$315.02	$475.85
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 $273.86 / $391.12 / $551.13	Professional		$273.86	$391.12	$551.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $357.89 / $865.88	Professional		$1.59	$357.89	$865.88
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 $1.08 / $310.18 / $1,367.18	Professional		$1.08	$310.18	$1,367.18
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 $289.80 / $384.29 / $602.41	Professional		$289.80	$384.29	$602.41