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 $361.37 / $361.37 / $1,867.60	Professional		$361.37	$361.37	$1,867.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,877.00 / $5,379.00 / $8,190.00	Facility		$3,877.00	$5,379.00	$8,190.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $343.91 / $416.02 / $598.72	Professional		$343.91	$416.02	$598.72
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 $296.79 / $397.42 / $608.77	Professional		$296.79	$397.42	$608.77
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $384.45 / $3,562.89	Professional		$2.29	$384.45	$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 $1.56 / $336.79 / $4,275.47	Professional		$1.56	$336.79	$4,275.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,597.85 / $7,138.00	Facility		$1,282.00	$2,597.85	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $360.15 / $424.48 / $627.66	Professional		$360.15	$424.48	$627.66