Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,150.00 / $2,599.00 / $10,300.00	Facility		$1,150.00	$2,599.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.51 / $231.81 / $757.41	Professional		$132.51	$231.81	$757.41
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 $137.59 / $243.43 / $417.81	Professional		$137.59	$243.43	$417.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,618.26 / $1,618.26 / $1,618.26	Facility		$1,618.26	$1,618.26	$1,618.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.04 / $229.50 / $432.21	Professional		$128.04	$229.50	$432.21
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $111.71 / $275.14 / $1,674.04	Professional		$111.71	$275.14	$1,674.04
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,674.04 / $4,232.04 / $4,232.04	Facility		$1,674.04	$4,232.04	$4,232.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $124.12 / $137.44 / $434.43	Professional		$124.12	$137.44	$434.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,000.00 / $9,042.00	Facility		$1,642.00	$3,000.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $175.50 / $303.39 / $467.57	Professional		$175.50	$303.39	$467.57