Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.00 / $1,706.00 / $4,473.00	Facility		$911.00	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.11 / $790.97 / $1,460.40	Professional		$160.11	$790.97	$1,460.40
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 $164.70 / $325.05 / $1,140.69	Professional		$164.70	$325.05	$1,140.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.08 / $1,033.22 / $1,499.36	Professional		$150.08	$1,033.22	$1,499.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $75.67 / $337.25 / $1,905.92	Professional		$75.67	$337.25	$1,905.92
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $4,167.63 / $4,167.63 / $4,167.63	Facility		$4,167.63	$4,167.63	$4,167.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $100.16 / $1,066.03	Professional		$4.80	$100.16	$1,066.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,060.00 / $9,042.00	Facility		$1,642.00	$3,060.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,170.61 / $1,285.28 / $2,272.30	Professional		$1,170.61	$1,285.28	$2,272.30