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 $76.45 / $77.39 / $390.58	Professional		$76.45	$77.39	$390.58
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 $72.23 / $87.39 / $125.77	Professional		$72.23	$87.39	$125.77
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 $62.17 / $88.31 / $155.00	Professional		$62.17	$88.31	$155.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $86.14 / $1,629.43	Professional		$0.35	$86.14	$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 $0.24 / $71.65 / $1,955.31	Professional		$0.24	$71.65	$1,955.31
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 $74.90 / $90.48 / $130.53	Professional		$74.90	$90.48	$130.53