Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.92 / $2,173.00 / $4,841.00	Facility		$392.92	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.24 / $349.31 / $1,714.27	Professional		$309.24	$349.31	$1,714.27
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 $289.76 / $351.65 / $544.41	Professional		$289.76	$351.65	$544.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $882.01 / $882.01 / $882.01	Facility		$882.01	$882.01	$882.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.45 / $401.71 / $628.76	Professional		$273.45	$401.71	$628.76
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $422.66 / $865.88	Professional		$3.26	$422.66	$865.88
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,768.74 / $1,768.74 / $1,768.74	Facility		$1,768.74	$1,768.74	$1,768.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $372.56 / $1,367.18	Professional		$2.22	$372.56	$1,367.18
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,317.00	Facility		$721.00	$2,200.00	$6,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $292.07 / $384.72 / $658.99	Professional		$292.07	$384.72	$658.99