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 / $4,730.00	Facility		$911.00	$1,713.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.73 / $229.44 / $1,082.40	Professional		$220.73	$229.44	$1,082.40
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 $205.40 / $252.51 / $363.40	Professional		$205.40	$252.51	$363.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,467.17 / $1,467.17 / $1,467.17	Facility		$1,467.17	$1,467.17	$1,467.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.05 / $221.77 / $331.09	Professional		$169.05	$221.77	$331.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $245.62 / $1,932.43	Professional		$2.29	$245.62	$1,932.43
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,545.94 / $3,584.18 / $3,584.18	Facility		$1,545.94	$3,584.18	$3,584.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.56 / $199.73 / $2,318.91	Professional		$1.56	$199.73	$2,318.91
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 $168.37 / $245.70 / $959.00	Professional		$168.37	$245.70	$959.00