Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,874.50 / $3,459.00 / $4,590.00	Facility		$1,874.50	$3,459.00	$4,590.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.75 / $126.48 / $224.68	Professional		$104.75	$126.48	$224.68
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 $122.77 / $140.15 / $201.70	Professional		$122.77	$140.15	$201.70
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 $99.20 / $134.91 / $186.87	Professional		$99.20	$134.91	$186.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $140.90 / $1,932.43	Professional		$0.62	$140.90	$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 $0.42 / $115.22 / $2,318.91	Professional		$0.42	$115.22	$2,318.91
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 $103.56 / $138.16 / $205.56	Professional		$103.56	$138.16	$205.56