Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $784.00 / $1,639.00 / $4,730.00	Facility		$784.00	$1,639.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.38 / $908.00 / $1,706.00	Professional		$351.38	$908.00	$1,706.00
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 $356.81 / $754.39 / $1,361.30	Professional		$356.81	$754.39	$1,361.30
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 $325.70 / $719.63 / $1,564.12	Professional		$325.70	$719.63	$1,564.12
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $263.20 / $778.47 / $1,902.42	Professional		$263.20	$778.47	$1,902.42
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 $299.60 / $328.38 / $1,297.46	Professional		$299.60	$328.38	$1,297.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,940.00 / $7,138.00	Facility		$1,282.00	$2,940.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $756.80 / $1,252.79 / $1,654.85	Professional		$756.80	$1,252.79	$1,654.85