Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $634.73 / $2,472.00 / $5,923.00	Facility		$634.73	$2,472.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.70 / $607.13 / $793.48	Professional		$114.70	$607.13	$793.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.47 / $650.28 / $1,150.50	Professional		$139.47	$650.28	$1,150.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.12 / $702.10 / $1,061.63	Professional		$116.12	$702.10	$1,061.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $190.00 / $964.95	Professional		$3.73	$190.00	$964.95
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $777.59 / $777.59 / $777.59	Facility		$777.59	$777.59	$777.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $104.61 / $118.57 / $589.21	Professional		$104.61	$118.57	$589.21
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,925.00 / $4,715.00	Facility		$408.00	$1,925.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $773.50 / $1,006.55 / $1,465.16	Professional		$773.50	$1,006.55	$1,465.16