Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $566.00 / $2,472.00 / $4,730.00	Facility		$566.00	$2,472.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $53.91 / $656.25	Professional		$49.00	$53.91	$656.25
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 $719.88 / $1,063.64 / $1,582.80	Professional		$719.88	$1,063.64	$1,582.80
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 $225.00 / $714.73 / $1,499.00	Professional		$225.00	$714.73	$1,499.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.16 / $7.04 / $200.00	Professional		$6.16	$7.04	$200.00
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 $5.28 / $5.28 / $5.28	Professional		$5.28	$5.28	$5.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $2,661.00 / $9,042.00	Facility		$1,642.00	$2,661.00	$9,042.00