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 $570.80 / $570.80 / $2,951.65	Professional		$570.80	$570.80	$2,951.65
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 $543.34 / $657.25 / $945.90	Professional		$543.34	$657.25	$945.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,028.96 / $5,028.96 / $5,028.96	Facility		$5,028.96	$5,028.96	$5,028.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $469.97 / $629.60 / $969.02	Professional		$469.97	$629.60	$969.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $653.62 / $6,520.76	Professional		$12.00	$653.62	$6,520.76
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $5,216.60 / $10,219.77 / $10,219.77	Facility		$5,216.60	$10,219.77	$10,219.77
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $532.78 / $7,824.92	Professional		$8.16	$532.78	$7,824.92
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,244.00	Facility		$721.00	$2,200.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $569.45 / $694.45 / $992.45	Professional		$569.45	$694.45	$992.45