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 $148.84 / $266.37 / $3,361.12	Professional		$148.84	$266.37	$3,361.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,877.00 / $5,379.00 / $8,190.00	Facility		$3,877.00	$5,379.00	$8,190.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.17 / $2,784.92 / $4,284.50	Professional		$176.17	$2,784.92	$4,284.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,458.00 / $4,458.00 / $4,458.00	Facility		$4,458.00	$4,458.00	$4,458.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.15 / $2,567.10 / $4,421.24	Professional		$150.15	$2,567.10	$4,421.24
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $167.83 / $2,806.43 / $4,812.42	Professional		$167.83	$2,806.43	$4,812.42
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $4,374.93 / $6,537.87 / $6,537.87	Facility		$4,374.93	$6,537.87	$6,537.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $145.94 / $218.91 / $3,856.89	Professional		$145.94	$218.91	$3,856.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $4,794.00 / $10,407.00	Facility		$2,042.00	$4,794.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,332.01 / $4,148.81 / $6,061.56	Professional		$3,332.01	$4,148.81	$6,061.56