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 $448.97 / $615.44 / $2,889.20	Professional		$448.97	$615.44	$2,889.20
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 $463.15 / $487.09 / $723.53	Professional		$463.15	$487.09	$723.53
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 $394.86 / $581.95 / $933.12	Professional		$394.86	$581.95	$933.12
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $20.76 / $635.25 / $1,459.63	Professional		$20.76	$635.25	$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 $10.38 / $532.54 / $1,966.85	Professional		$10.38	$532.54	$1,966.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,940.00 / $7,138.00	Facility		$1,282.00	$2,940.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $423.34 / $538.29 / $953.57	Professional		$423.34	$538.29	$953.57