Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $566.00 / $2,472.00 / $10,300.00	Facility		$566.00	$2,472.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.16 / $571.11 / $2,308.08	Professional		$403.16	$571.11	$2,308.08
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 $431.37 / $484.03 / $715.80	Professional		$431.37	$484.03	$715.80
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 $405.99 / $633.00 / $972.77	Professional		$405.99	$633.00	$972.77
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.67 / $607.50 / $1,631.69	Professional		$4.67	$607.50	$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 $3.18 / $580.29 / $2,576.36	Professional		$3.18	$580.29	$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 $506.47 / $650.09 / $1,001.86	Professional		$506.47	$650.09	$1,001.86