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 $351.47 / $354.85 / $1,613.22	Professional		$351.47	$354.85	$1,613.22
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 $312.27 / $377.76 / $518.38	Professional		$312.27	$377.76	$518.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,055.71 / $2,055.71 / $2,055.71	Facility		$2,055.71	$2,055.71	$2,055.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.33 / $334.96 / $506.92	Professional		$256.33	$334.96	$506.92
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $413.00 / $2,840.08	Professional		$5.20	$413.00	$2,840.08
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,184.67 / $4,022.08 / $4,022.08	Facility		$2,184.67	$4,022.08	$4,022.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $305.27 / $3,277.02	Professional		$3.54	$305.27	$3,277.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,000.00 / $9,042.00	Facility		$1,642.00	$3,000.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $264.17 / $331.52 / $526.60	Professional		$264.17	$331.52	$526.60