Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $972.56 / $1,068.75 / $1,393.70	Facility		$972.56	$1,068.75	$1,393.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $972.56 / $1,268.26 / $5,819.68	Professional		$972.56	$1,268.26	$5,819.68
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 $1,149.16 / $1,373.58 / $1,840.98	Professional		$1,149.16	$1,373.58	$1,840.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $702.11 / $702.11 / $702.11	Facility		$702.11	$702.11	$702.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,068.75 / $1,616.14 / $2,462.00	Professional		$1,068.75	$1,616.14	$2,462.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $1,260.27 / $2,142.46	Professional		$29.99	$1,260.27	$2,142.46
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,584.18 / $3,584.18 / $3,584.18	Facility		$3,584.18	$3,584.18	$3,584.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $1,121.46 / $2,100.44	Professional		$20.39	$1,121.46	$2,100.44
United Facility/Professional Facility Modifier Low / Median / High Price $703.45 / $3,569.00 / $11,445.00	Facility		$703.45	$3,569.00	$11,445.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,325.70 / $1,739.42 / $2,568.17	Professional		$1,325.70	$1,739.42	$2,568.17