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 / $4,841.00	Facility		$950.00	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.84 / $272.95 / $1,005.00	Professional		$253.84	$272.95	$1,005.00
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 $242.37 / $299.07 / $421.94	Professional		$242.37	$299.07	$421.94
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 $212.48 / $285.52 / $430.91	Professional		$212.48	$285.52	$430.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $291.38 / $2,214.25	Professional		$6.17	$291.38	$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 $4.20 / $237.80 / $2,657.10	Professional		$4.20	$237.80	$2,657.10
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 $238.20 / $298.91 / $446.66	Professional		$238.20	$298.91	$446.66