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 / $10,300.00	Facility		$950.00	$2,173.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.92 / $403.32 / $1,612.32	Professional		$282.92	$403.32	$1,612.32
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 $309.91 / $344.00 / $505.41	Professional		$309.91	$344.00	$505.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.11 / $281.11 / $281.11	Facility		$281.11	$281.11	$281.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.20 / $478.54 / $746.07	Professional		$310.20	$478.54	$746.07
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $394.23 / $640.41	Professional		$4.84	$394.23	$640.41
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 $3.30 / $429.38 / $667.10	Professional		$3.30	$429.38	$667.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,940.00 / $7,138.00	Facility		$1,282.00	$2,940.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $385.32 / $499.59 / $795.02	Professional		$385.32	$499.59	$795.02