Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $774.82 / $2,173.00 / $4,841.00	Facility		$774.82	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $646.35 / $741.13 / $3,860.40	Professional		$646.35	$741.13	$3,860.40
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 $513.98 / $756.71 / $1,177.27	Professional		$513.98	$756.71	$1,177.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,059.40 / $2,059.40 / $2,059.40	Facility		$2,059.40	$2,059.40	$2,059.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.27 / $753.54 / $1,229.57	Professional		$520.27	$753.54	$1,229.57
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $614.70 / $922.49 / $2,229.21	Professional		$614.70	$922.49	$2,229.21
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $4,046.03 / $4,046.03 / $4,046.03	Facility		$4,046.03	$4,046.03	$4,046.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $647.04 / $767.80 / $1,257.95	Professional		$647.04	$767.80	$1,257.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,060.00 / $9,042.00	Facility		$1,642.00	$3,060.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $627.92 / $802.26 / $1,452.80	Professional		$627.92	$802.26	$1,452.80