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 / $4,473.00	Facility		$750.00	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.46 / $271.87 / $435.81	Professional		$237.46	$271.87	$435.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,452.00 / $5,379.00 / $8,190.00	Facility		$4,452.00	$5,379.00	$8,190.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.64 / $297.20 / $478.12	Professional		$236.64	$297.20	$478.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,845.29 / $3,714.53 / $3,972.17	Facility		$2,845.29	$3,714.53	$3,972.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.30 / $303.50 / $448.58	Professional		$228.30	$303.50	$448.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $301.75 / $6,002.93	Professional		$6.40	$301.75	$6,002.93
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $5,002.43 / $6,578.93 / $6,578.93	Facility		$5,002.43	$6,578.93	$6,578.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $246.62 / $7,503.66	Professional		$4.80	$246.62	$7,503.66
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,317.00	Facility		$721.00	$2,200.00	$6,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $233.39 / $302.39 / $494.77	Professional		$233.39	$302.39	$494.77