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 $691.31 / $800.55 / $1,281.09	Professional		$691.31	$800.55	$1,281.09
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 $623.46 / $853.85 / $1,384.57	Professional		$623.46	$853.85	$1,384.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.66 / $902.97 / $965.60	Facility		$691.66	$902.97	$965.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.20 / $852.68 / $1,320.91	Professional		$461.20	$852.68	$1,320.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.72 / $794.40 / $1,149.48	Professional		$4.72	$794.40	$1,149.48
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 $3.54 / $730.03 / $1,036.17	Professional		$3.54	$730.03	$1,036.17
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $1,967.00 / $6,244.00	Facility		$721.00	$1,967.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $653.76 / $861.45 / $1,438.13	Professional		$653.76	$861.45	$1,438.13