Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,240.00 / $11,120.00 / $27,000.00	Facility		$2,240.00	$11,120.00	$27,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.25 / $79.97 / $91.16	Professional		$73.25	$79.97	$91.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,009.00 / $5,053.00 / $20,767.00	Facility		$4,009.00	$5,053.00	$20,767.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.43 / $91.82 / $123.69	Professional		$80.43	$91.82	$123.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,056.00 / $11,180.00 / $27,602.00	Facility		$9,056.00	$11,180.00	$27,602.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.50 / $100.01 / $132.77	Professional		$73.50	$100.01	$132.77
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.43 / $1.43 / $142.50	Professional		$1.43	$1.43	$142.50
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,341.68 / $1,341.68 / $1,341.68	Facility		$1,341.68	$1,341.68	$1,341.68
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.43 / $1.43 / $1.43	Professional		$1.43	$1.43	$1.43
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $5,340.00 / $34,635.00	Facility		$721.00	$5,340.00	$34,635.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.77 / $101.03 / $146.76	Professional		$79.77	$101.03	$146.76