Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,713.00 / $10,300.00	Facility		$750.00	$1,713.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.70 / $397.07 / $607.02	Professional		$305.70	$397.07	$607.02
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 $313.83 / $418.38 / $680.91	Professional		$313.83	$418.38	$680.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,059.40 / $2,688.56 / $2,875.04	Facility		$2,059.40	$2,688.56	$2,875.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.00 / $397.07 / $653.65	Professional		$246.00	$397.07	$653.65
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $439.43 / $2,634.53	Professional		$4.24	$439.43	$2,634.53
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,026.56 / $4,046.03 / $4,046.03	Facility		$2,026.56	$4,046.03	$4,046.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.18 / $357.99 / $3,039.84	Professional		$3.18	$357.99	$3,039.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,097.00 / $3,000.00 / $9,042.00	Facility		$1,097.00	$3,000.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $300.32 / $391.46 / $683.81	Professional		$300.32	$391.46	$683.81