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 $369.77 / $555.83 / $2,079.80	Professional		$369.77	$555.83	$2,079.80
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 $315.45 / $382.82 / $651.03	Professional		$315.45	$382.82	$651.03
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 $334.45 / $560.61 / $1,001.00	Professional		$334.45	$560.61	$1,001.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.53 / $609.14 / $1,631.69	Professional		$3.53	$609.14	$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 $2.40 / $578.29 / $2,576.36	Professional		$2.40	$578.29	$2,576.36
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 $406.23 / $619.16 / $1,021.92	Professional		$406.23	$619.16	$1,021.92