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 $463.46 / $471.86 / $2,387.11	Professional		$463.46	$471.86	$2,387.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,931.00 / $5,258.00	Facility		$3,072.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $439.26 / $534.41 / $769.12	Professional		$439.26	$534.41	$769.12
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 $376.43 / $523.84 / $785.49	Professional		$376.43	$523.84	$785.49
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $532.79 / $2,248.98	Professional		$9.78	$532.79	$2,248.98
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 $6.66 / $436.89 / $2,698.77	Professional		$6.66	$436.89	$2,698.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,331.00 / $7,138.00	Facility		$1,282.00	$2,331.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $452.16 / $566.02 / $822.15	Professional		$452.16	$566.02	$822.15