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 $504.80 / $602.92 / $2,888.30	Professional		$504.80	$602.92	$2,888.30
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 $400.37 / $485.88 / $992.27	Professional		$400.37	$485.88	$992.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,375.53 / $1,375.53 / $1,375.53	Facility		$1,375.53	$1,375.53	$1,375.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.32 / $729.86 / $1,413.98	Professional		$408.32	$729.86	$1,413.98
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $634.34 / $1,774.66	Professional		$13.44	$634.34	$1,774.66
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,158.16 / $2,158.16 / $2,158.16	Facility		$2,158.16	$2,158.16	$2,158.16
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $551.83 / $2,218.32	Professional		$10.08	$551.83	$2,218.32
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 $522.05 / $913.42 / $2,470.85	Professional		$522.05	$913.42	$2,470.85