Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.59 / $2,138.00 / $4,730.00	Facility		$339.59	$2,138.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.07 / $316.33 / $554.20	Professional		$195.07	$316.33	$554.20
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 $174.06 / $266.80 / $471.29	Professional		$174.06	$266.80	$471.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,032.25 / $1,032.25 / $1,032.25	Facility		$1,032.25	$1,032.25	$1,032.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.42 / $298.75 / $435.49	Professional		$179.42	$298.75	$435.49
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $193.48 / $328.37 / $1,296.30	Professional		$193.48	$328.37	$1,296.30
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,021.63 / $2,021.63 / $2,021.63	Facility		$2,021.63	$2,021.63	$2,021.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $193.48 / $290.22 / $536.46	Professional		$193.48	$290.22	$536.46
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,317.00	Facility		$721.00	$2,200.00	$6,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $305.55 / $350.40 / $616.78	Professional		$305.55	$350.40	$616.78