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 $614.88 / $654.97 / $897.09	Professional		$614.88	$654.97	$897.09
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 $585.29 / $707.99 / $1,018.93	Professional		$585.29	$707.99	$1,018.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,653.10 / $2,653.10 / $2,653.10	Facility		$2,653.10	$2,653.10	$2,653.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $502.55 / $676.63 / $1,044.13	Professional		$502.55	$676.63	$1,044.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $703.76 / $3,562.89	Professional		$12.97	$703.76	$3,562.89
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,850.31 / $5,618.32 / $5,618.32	Facility		$2,850.31	$5,618.32	$5,618.32
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $573.40 / $4,275.47	Professional		$8.82	$573.40	$4,275.47
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 $615.32 / $736.26 / $1,069.31	Professional		$615.32	$736.26	$1,069.31