Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $403.37 / $2,173.00 / $4,841.00	Facility		$403.37	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.16 / $367.07 / $1,509.94	Professional		$240.16	$367.07	$1,509.94
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 $285.27 / $316.64 / $443.25	Professional		$285.27	$316.64	$443.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,661.51 / $1,661.51 / $1,661.51	Facility		$1,661.51	$1,661.51	$1,661.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.38 / $435.45 / $645.40	Professional		$267.38	$435.45	$645.40
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $396.00 / $1,631.69	Professional		$3.88	$396.00	$1,631.69
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,585.88 / $3,585.88 / $3,585.88	Facility		$3,585.88	$3,585.88	$3,585.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $360.96 / $2,576.36	Professional		$2.64	$360.96	$2,576.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,940.00 / $7,138.00	Facility		$1,282.00	$2,940.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $374.42 / $475.45 / $809.55	Professional		$374.42	$475.45	$809.55