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 / $4,730.00	Facility		$911.00	$1,713.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.19 / $363.99 / $1,422.00	Professional		$298.19	$363.99	$1,422.00
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 $405.57 / $447.80 / $604.52	Professional		$405.57	$447.80	$604.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $973.17 / $973.17 / $973.17	Facility		$973.17	$973.17	$973.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.91 / $426.83 / $693.60	Professional		$293.91	$426.83	$693.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $440.50 / $1,089.65	Professional		$8.00	$440.50	$1,089.65
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 $6.00 / $367.08 / $1,485.89	Professional		$6.00	$367.08	$1,485.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,331.00 / $7,138.00	Facility		$1,282.00	$2,331.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $300.82 / $413.77 / $614.91	Professional		$300.82	$413.77	$614.91