Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $2,173.00 / $4,841.00	Facility		$950.00	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $143.04 / $154.84	Professional		$86.98	$143.04	$154.84
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 $126.10 / $168.13 / $260.62	Professional		$126.10	$168.13	$260.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,973.63 / $2,576.58 / $2,755.30	Facility		$1,973.63	$2,576.58	$2,755.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.77 / $229.77 / $229.77	Professional		$229.77	$229.77	$229.77
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $163.31 / $425.00 / $2,281.80	Professional		$163.31	$425.00	$2,281.80
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,074.36 / $4,204.68 / $4,204.68	Facility		$2,074.36	$4,204.68	$4,204.68
United Facility/Professional Facility Modifier Low / Median / High Price $777.00 / $2,200.00 / $6,317.00	Facility		$777.00	$2,200.00	$6,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.32 / $174.47 / $271.92	Professional		$134.32	$174.47	$271.92