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 $416.83 / $416.83 / $2,160.17	Professional		$416.83	$416.83	$2,160.17
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 $398.85 / $482.47 / $694.36	Professional		$398.85	$482.47	$694.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,264.58 / $1,264.58 / $1,264.58	Facility		$1,264.58	$1,264.58	$1,264.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.50 / $473.14 / $665.73	Professional		$340.50	$473.14	$665.73
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $486.92 / $1,629.43	Professional		$7.06	$486.92	$1,629.43
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,303.54 / $3,163.08 / $3,163.08	Facility		$1,303.54	$3,163.08	$3,163.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $397.33 / $1,955.31	Professional		$4.80	$397.33	$1,955.31
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $1,967.00 / $6,244.00	Facility		$721.00	$1,967.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $410.63 / $490.98 / $781.37	Professional		$410.63	$490.98	$781.37