Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.95 / $2,173.00 / $4,841.00	Facility		$237.95	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.22 / $226.62 / $669.26	Professional		$134.22	$226.62	$669.26
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 $142.88 / $218.50 / $324.57	Professional		$142.88	$218.50	$324.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,694.29 / $1,694.29 / $1,694.29	Facility		$1,694.29	$1,694.29	$1,694.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.66 / $196.50 / $332.52	Professional		$120.66	$196.50	$332.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $204.53 / $1,771.40	Professional		$99.00	$204.53	$1,771.40
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,771.40 / $4,074.74 / $4,074.74	Facility		$1,771.40	$4,074.74	$4,074.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $110.98 / $124.36 / $322.94	Professional		$110.98	$124.36	$322.94
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 $177.95 / $248.65 / $1,286.00	Professional		$177.95	$248.65	$1,286.00