Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.00 / $1,713.00 / $4,473.00	Facility		$911.00	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.47 / $336.49 / $1,548.63	Professional		$320.47	$336.49	$1,548.63
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 $283.45 / $366.08 / $526.85	Professional		$283.45	$366.08	$526.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.66 / $691.66 / $691.66	Facility		$691.66	$691.66	$691.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.33 / $324.87 / $480.70	Professional		$240.33	$324.87	$480.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $350.00 / $860.39	Professional		$1.76	$350.00	$860.39
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $688.31 / $1,637.08 / $1,637.08	Facility		$688.31	$1,637.08	$1,637.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $295.49 / $1,032.47	Professional		$1.20	$295.49	$1,032.47
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,244.00	Facility		$721.00	$2,200.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $251.79 / $332.10 / $508.12	Professional		$251.79	$332.10	$508.12