Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,210.00 / $2,173.00 / $4,841.00	Facility		$1,210.00	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.94 / $213.09 / $1,009.45	Professional		$202.94	$213.09	$1,009.45
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 $189.43 / $230.49 / $329.79	Professional		$189.43	$230.49	$329.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,694.29 / $1,694.29 / $1,694.29	Facility		$1,694.29	$1,694.29	$1,694.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.60 / $223.12 / $325.05	Professional		$165.60	$223.12	$325.05
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.67 / $229.81 / $2,214.25	Professional		$4.67	$229.81	$2,214.25
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,771.40 / $4,074.74 / $4,074.74	Facility		$1,771.40	$4,074.74	$4,074.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.18 / $187.08 / $2,657.10	Professional		$3.18	$187.08	$2,657.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,331.00 / $7,138.00	Facility		$1,282.00	$2,331.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $190.20 / $230.01 / $338.55	Professional		$190.20	$230.01	$338.55