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 $177.15 / $199.79 / $1,035.04	Professional		$177.15	$199.79	$1,035.04
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 $197.87 / $243.24 / $350.07	Professional		$197.87	$243.24	$350.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,761.57 / $1,761.57 / $1,761.57	Facility		$1,761.57	$1,761.57	$1,761.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.34 / $228.38 / $323.43	Professional		$156.34	$228.38	$323.43
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.70 / $237.11 / $2,268.61	Professional		$3.70	$237.11	$2,268.61
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,814.89 / $3,513.95 / $3,513.95	Facility		$1,814.89	$3,513.95	$3,513.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $194.47 / $2,722.34	Professional		$2.52	$194.47	$2,722.34
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 $188.18 / $227.01 / $340.08	Professional		$188.18	$227.01	$340.08