Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,210.00 / $2,173.00 / $4,841.00	Facility		$1,210.00	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.81 / $171.97 / $729.00	Professional		$154.81	$171.97	$729.00
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 $152.81 / $187.64 / $266.02	Professional		$152.81	$187.64	$266.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $833.45 / $833.45 / $833.45	Facility		$833.45	$833.45	$833.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.06 / $179.27 / $269.14	Professional		$134.06	$179.27	$269.14
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $190.00 / $1,101.33	Professional		$3.88	$190.00	$1,101.33
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $881.06 / $1,905.85 / $1,905.85	Facility		$881.06	$1,905.85	$1,905.85
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $151.03 / $1,321.59	Professional		$2.64	$151.03	$1,321.59
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,244.00	Facility		$721.00	$2,200.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $156.10 / $194.61 / $295.58	Professional		$156.10	$194.61	$295.58