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 $280.45 / $304.23 / $1,660.33	Professional		$280.45	$304.23	$1,660.33
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 $312.85 / $384.60 / $553.51	Professional		$312.85	$384.60	$553.51
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 $184.40 / $364.92 / $512.75	Professional		$184.40	$364.92	$512.75
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.70 / $361.87 / $1,629.43	Professional		$3.70	$361.87	$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 $2.52 / $307.48 / $1,955.31	Professional		$2.52	$307.48	$1,955.31
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 $284.51 / $372.98 / $558.75	Professional		$284.51	$372.98	$558.75