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 $107.39 / $125.78 / $189.60	Professional		$107.39	$125.78	$189.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,647.00 / $5,379.00 / $8,190.00	Facility		$3,647.00	$5,379.00	$8,190.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.99 / $131.13 / $211.69	Professional		$102.99	$131.13	$211.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,464.29 / $5,828.15 / $6,232.39	Facility		$4,464.29	$5,828.15	$6,232.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.75 / $138.10 / $231.37	Professional		$98.75	$138.10	$231.37
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $143.99 / $5,539.78	Professional		$4.80	$143.99	$5,539.78
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $4,616.47 / $6,578.93 / $6,578.93	Facility		$4,616.47	$6,578.93	$6,578.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $112.31 / $6,924.72	Professional		$3.60	$112.31	$6,924.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $3,000.00 / $9,042.00	Facility		$1,282.00	$3,000.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $103.09 / $134.02 / $224.77	Professional		$103.09	$134.02	$224.77