Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $552.07 / $2,173.00 / $4,841.00	Facility		$552.07	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.01 / $525.78 / $1,849.52	Professional		$387.01	$525.78	$1,849.52
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 $394.96 / $511.85 / $776.58	Professional		$394.96	$511.85	$776.58
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 $323.66 / $459.55 / $729.74	Professional		$323.66	$459.55	$729.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $273.00 / $508.87 / $1,545.94	Professional		$273.00	$508.87	$1,545.94
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 $327.87 / $356.69 / $730.02	Professional		$327.87	$356.69	$730.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,273.00 / $2,299.00 / $6,486.14	Facility		$1,273.00	$2,299.00	$6,486.14
United Facility/Professional Professional Modifier Low / Median / High Price $388.45 / $532.57 / $838.20	Professional		$388.45	$532.57	$838.20