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 / $4,730.00	Facility		$950.00	$2,173.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.15 / $213.87 / $353.61	Professional		$149.15	$213.87	$353.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $4,589.00 / $6,006.00	Facility		$3,671.00	$4,589.00	$6,006.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.63 / $199.37 / $357.43	Professional		$140.63	$199.37	$357.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,264.58 / $1,264.58 / $1,264.58	Facility		$1,264.58	$1,264.58	$1,264.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.88 / $224.00 / $354.24	Professional		$149.88	$224.00	$354.24
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $172.98 / $273.60 / $1,433.89	Professional		$172.98	$273.60	$1,433.89
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,163.08 / $3,163.08 / $3,163.08	Facility		$3,163.08	$3,163.08	$3,163.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $172.98 / $253.24 / $428.49	Professional		$172.98	$253.24	$428.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,299.00 / $7,138.00	Facility		$1,282.00	$2,299.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.32 / $262.80 / $459.90	Professional		$207.32	$262.80	$459.90