Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $605.41 / $2,472.00 / $5,923.00	Facility		$605.41	$2,472.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.65 / $528.88 / $2,197.78	Professional		$394.65	$528.88	$2,197.78
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 $427.01 / $473.98 / $709.43	Professional		$427.01	$473.98	$709.43
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 $397.07 / $626.47 / $938.41	Professional		$397.07	$626.47	$938.41
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $598.64 / $1,631.69	Professional		$5.29	$598.64	$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 $3.60 / $565.29 / $2,576.36	Professional		$3.60	$565.29	$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 $493.46 / $641.49 / $989.51	Professional		$493.46	$641.49	$989.51