Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $716.21 / $3,913.76 / $8,976.03	Facility		$716.21	$3,913.76	$8,976.03
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,681.75 / $1,681.75 / $1,681.75	Facility	22	$1,681.75	$1,681.75	$1,681.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $525.09 / $752.02 / $2,799.00	Professional		$525.09	$752.02	$2,799.00
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 $665.35 / $817.94 / $1,177.16	Professional		$665.35	$817.94	$1,177.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,467.17 / $1,467.17 / $1,467.17	Facility		$1,467.17	$1,467.17	$1,467.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.41 / $666.52 / $1,038.51	Professional		$520.41	$666.52	$1,038.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $790.78 / $1,932.43	Professional		$9.69	$790.78	$1,932.43
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,545.94 / $3,584.18 / $3,584.18	Facility		$1,545.94	$3,584.18	$3,584.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $648.58 / $2,318.91	Professional		$6.60	$648.58	$2,318.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,273.00 / $2,974.00 / $6,486.14	Facility		$1,273.00	$2,974.00	$6,486.14
United Facility/Professional Professional Modifier Low / Median / High Price $522.83 / $720.19 / $1,142.54	Professional		$522.83	$720.19	$1,142.54