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 $346.55 / $487.22 / $795.74	Professional		$346.55	$487.22	$795.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,214.00 / $3,931.00 / $5,258.00	Facility		$3,214.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.23 / $361.07 / $621.51	Professional		$350.23	$361.07	$621.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,277.64 / $1,277.64 / $1,277.64	Facility		$1,277.64	$1,277.64	$1,277.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.15 / $470.00 / $726.82	Professional		$328.15	$470.00	$726.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $546.23 / $1,459.63	Professional		$7.56	$546.23	$1,459.63
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,520.62 / $2,520.62 / $2,520.62	Facility		$2,520.62	$2,520.62	$2,520.62
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $443.57 / $1,966.85	Professional		$3.78	$443.57	$1,966.85
United Facility/Professional Facility Modifier Low / Median / High Price $252.00 / $1,277.00 / $1,998.00	Facility		$252.00	$1,277.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $337.06 / $433.71 / $755.16	Professional		$337.06	$433.71	$755.16