Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.40 / $1,706.00 / $4,473.00	Facility		$391.40	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.73 / $356.17 / $1,334.69	Professional		$232.73	$356.17	$1,334.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,214.00 / $3,931.00 / $5,258.00	Facility		$3,214.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.80 / $299.91 / $420.21	Professional		$274.80	$299.91	$420.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.92 / $287.92 / $287.92	Facility		$287.92	$287.92	$287.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $382.53 / $606.66	Professional		$250.00	$382.53	$606.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.80 / $348.16 / $615.59	Professional		$2.80	$348.16	$615.59
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,637.08 / $1,637.08 / $1,637.08	Facility		$1,637.08	$1,637.08	$1,637.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $331.31 / $641.24	Professional		$2.10	$331.31	$641.24
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,244.00	Facility		$721.00	$2,200.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $330.81 / $436.53 / $675.95	Professional		$330.81	$436.53	$675.95