Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $493.22 / $2,472.00 / $5,923.00	Facility		$493.22	$2,472.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.78 / $418.08 / $801.76	Professional		$226.78	$418.08	$801.76
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 $281.11 / $476.68 / $641.72	Professional		$281.11	$476.68	$641.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,264.58 / $1,264.58 / $1,264.58	Facility		$1,264.58	$1,264.58	$1,264.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.60 / $434.40 / $764.49	Professional		$253.60	$434.40	$764.49
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $420.08 / $1,238.35	Professional		$3.26	$420.08	$1,238.35
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,163.08 / $3,163.08 / $3,163.08	Facility		$3,163.08	$3,163.08	$3,163.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $344.33 / $1,955.31	Professional		$2.22	$344.33	$1,955.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,108.33 / $2,625.00 / $7,138.00	Facility		$1,108.33	$2,625.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $400.64 / $554.63 / $856.82	Professional		$400.64	$554.63	$856.82