Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.47 / $2,173.00 / $4,841.00	Facility		$617.47	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.22 / $461.52 / $1,110.08	Professional		$280.22	$461.52	$1,110.08
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 $302.74 / $367.40 / $579.90	Professional		$302.74	$367.40	$579.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,186.39 / $1,186.39 / $1,186.39	Facility		$1,186.39	$1,186.39	$1,186.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.51 / $538.04 / $957.08	Professional		$324.51	$538.04	$957.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $571.10 / $1,199.32	Professional		$5.56	$571.10	$1,199.32
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 $3.78 / $531.05 / $1,838.21	Professional		$3.78	$531.05	$1,838.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,331.00 / $7,138.00	Facility		$1,282.00	$2,331.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $413.11 / $602.64 / $975.65	Professional		$413.11	$602.64	$975.65