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 $497.21 / $497.21 / $2,572.67	Professional		$497.21	$497.21	$2,572.67
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 $473.42 / $572.67 / $824.19	Professional		$473.42	$572.67	$824.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,741.63 / $1,741.63 / $1,741.63	Facility		$1,741.63	$1,741.63	$1,741.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.14 / $548.28 / $844.03	Professional		$392.14	$548.28	$844.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $570.32 / $2,248.98	Professional		$10.32	$570.32	$2,248.98
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,799.18 / $3,811.73 / $3,811.73	Facility		$1,799.18	$3,811.73	$3,811.73
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $464.52 / $2,698.77	Professional		$7.02	$464.52	$2,698.77
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,917.00 / $4,661.00	Facility		$408.00	$1,917.00	$4,661.00
United Facility/Professional Professional Modifier Low / Median / High Price $496.30 / $603.97 / $864.96	Professional		$496.30	$603.97	$864.96