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 $892.83 / $910.34 / $1,636.30	Professional		$892.83	$910.34	$1,636.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,238.00 / $9,321.00 / $14,632.00	Facility		$7,238.00	$9,321.00	$14,632.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.30 / $1,029.78 / $1,482.03	Professional		$851.30	$1,029.78	$1,482.03
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 $728.06 / $986.51 / $1,463.94	Professional		$728.06	$986.51	$1,463.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $1,007.60 / $3,562.89	Professional		$12.35	$1,007.60	$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 $8.40 / $839.13 / $4,275.47	Professional		$8.40	$839.13	$4,275.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,940.00 / $17,187.00	Facility		$1,282.00	$2,940.00	$17,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $855.08 / $1,057.30 / $1,542.05	Professional		$855.08	$1,057.30	$1,542.05