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 $226.90 / $255.74 / $1,404.91	Professional		$226.90	$255.74	$1,404.91
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 $249.58 / $288.44 / $448.99	Professional		$249.58	$288.44	$448.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $745.22 / $745.22 / $745.22	Facility		$745.22	$745.22	$745.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.50 / $342.00 / $644.94	Professional		$229.50	$342.00	$644.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $285.47 / $929.81	Professional		$13.44	$285.47	$929.81
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,790.66 / $1,790.66 / $1,790.66	Facility		$1,790.66	$1,790.66	$1,790.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $248.31 / $1,162.26	Professional		$10.08	$248.31	$1,162.26
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,244.00	Facility		$721.00	$2,200.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $249.92 / $413.11 / $858.27	Professional		$249.92	$413.11	$858.27