Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,706.00 / $4,396.00	Facility		$750.00	$1,706.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.31 / $233.75 / $450.02	Professional		$134.31	$233.75	$450.02
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 $141.58 / $191.13 / $260.26	Professional		$141.58	$191.13	$260.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,045.73 / $2,045.73 / $2,045.73	Facility		$2,045.73	$2,045.73	$2,045.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.36 / $239.69 / $461.57	Professional		$145.36	$239.69	$461.57
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $237.88 / $2,058.04	Professional		$5.20	$237.88	$2,058.04
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,800.73 / $3,800.73 / $3,800.73	Facility		$3,800.73	$3,800.73	$3,800.73
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $201.57 / $3,137.94	Professional		$3.54	$201.57	$3,137.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,000.00 / $9,042.00	Facility		$1,642.00	$3,000.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $232.65 / $395.55 / $578.90	Professional		$232.65	$395.55	$578.90