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 $253.63 / $274.85 / $1,498.03	Professional		$253.63	$274.85	$1,498.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,214.00 / $3,931.00 / $5,258.00	Facility		$3,214.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.70 / $347.55 / $500.19	Professional		$282.70	$347.55	$500.19
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 $236.83 / $328.85 / $463.23	Professional		$236.83	$328.85	$463.23
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $340.30 / $2,268.61	Professional		$5.64	$340.30	$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 $3.84 / $278.02 / $2,722.34	Professional		$3.84	$278.02	$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 $280.77 / $330.80 / $504.46	Professional		$280.77	$330.80	$504.46