Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,150.00 / $2,499.00 / $5,278.00	Facility		$1,150.00	$2,499.00	$5,278.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.17 / $404.73 / $1,556.53	Professional		$272.17	$404.73	$1,556.53
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 $311.56 / $345.88 / $514.10	Professional		$311.56	$345.88	$514.10
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 $315.30 / $478.49 / $770.35	Professional		$315.30	$478.49	$770.35
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $467.24 / $883.08	Professional		$4.05	$467.24	$883.08
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 $2.76 / $438.08 / $1,367.18	Professional		$2.76	$438.08	$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 $398.24 / $516.35 / $849.25	Professional		$398.24	$516.35	$849.25