Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $337.62 / $2,173.00 / $4,841.00	Facility		$337.62	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.09 / $242.71 / $382.01	Professional		$155.09	$242.71	$382.01
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 $164.88 / $300.08 / $461.66	Professional		$164.88	$300.08	$461.66
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 $145.25 / $258.04 / $466.24	Professional		$145.25	$258.04	$466.24
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $120.93 / $302.49 / $1,771.40	Professional		$120.93	$302.49	$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 $127.29 / $143.41 / $453.74	Professional		$127.29	$143.41	$453.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,061.00 / $2,200.00 / $6,244.00	Facility		$1,061.00	$2,200.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $273.36 / $343.64 / $524.59	Professional		$273.36	$343.64	$524.59