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 $222.09 / $338.74 / $1,289.52	Professional		$222.09	$338.74	$1,289.52
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 $251.82 / $279.52 / $405.72	Professional		$251.82	$279.52	$405.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.19 / $252.19 / $252.19	Facility		$252.19	$252.19	$252.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.25 / $391.74 / $607.19	Professional		$233.25	$391.74	$607.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $326.41 / $536.79	Professional		$1.50	$326.41	$536.79
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 $1.02 / $344.01 / $559.16	Professional		$1.02	$344.01	$559.16
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 $332.99 / $428.16 / $699.29	Professional		$332.99	$428.16	$699.29