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 $247.79 / $253.12 / $1,357.55	Professional		$247.79	$253.12	$1,357.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.27 / $284.01 / $444.25	Professional		$246.27	$284.01	$444.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $502.86 / $502.86 / $502.86	Facility		$502.86	$502.86	$502.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.29 / $348.26 / $632.52	Professional		$240.29	$348.26	$632.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.24 / $384.49 / $633.71	Professional		$12.24	$384.49	$633.71
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $983.93 / $983.93 / $983.93	Facility		$983.93	$983.93	$983.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $9.18 / $314.60 / $760.46	Professional		$9.18	$314.60	$760.46
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,917.00 / $4,715.00	Facility		$408.00	$1,917.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $245.52 / $454.21 / $782.03	Professional		$245.52	$454.21	$782.03