Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.80 / $1,706.00 / $4,473.00	Facility		$329.80	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.75 / $279.56 / $883.40	Professional		$157.75	$279.56	$883.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,931.00 / $5,258.00	Facility		$3,072.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.46 / $189.52 / $295.00	Professional		$166.46	$189.52	$295.00
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 $153.00 / $277.83 / $494.70	Professional		$153.00	$277.83	$494.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $279.18 / $1,238.35	Professional		$1.41	$279.18	$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 $0.96 / $247.80 / $1,955.31	Professional		$0.96	$247.80	$1,955.31
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $1,967.00 / $6,244.00	Facility		$721.00	$1,967.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $224.48 / $316.08 / $547.80	Professional		$224.48	$316.08	$547.80