Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,713.00 / $10,300.00	Facility		$750.00	$1,713.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.28 / $344.13 / $707.71	Professional		$225.28	$344.13	$707.71
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 $258.27 / $294.51 / $444.57	Professional		$258.27	$294.51	$444.57
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 $258.38 / $413.95 / $666.89	Professional		$258.38	$413.95	$666.89
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $402.95 / $1,631.69	Professional		$2.73	$402.95	$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 $1.86 / $373.67 / $2,576.36	Professional		$1.86	$373.67	$2,576.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,191.00 / $6,489.22	Facility		$1,282.00	$2,191.00	$6,489.22
United Facility/Professional Professional Modifier Low / Median / High Price $347.90 / $450.30 / $759.15	Professional		$347.90	$450.30	$759.15