Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,496.00 / $1,639.00 / $4,396.00	Facility		$1,496.00	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.73 / $100.08 / $323.54	Professional		$86.73	$100.08	$323.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $5,484.00 / $9,964.00	Facility		$1,529.00	$5,484.00	$9,964.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.20 / $129.05 / $393.77	Professional		$101.20	$129.05	$393.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $665.38 / $665.38 / $665.38	Facility		$665.38	$665.38	$665.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $171.57 / $449.22	Professional		$79.34	$171.57	$449.22
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $126.06 / $848.40	Professional		$1.17	$126.06	$848.40
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $678.72 / $1,716.83 / $1,716.83	Facility		$678.72	$1,716.83	$1,716.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $87.37 / $1,018.08	Professional		$0.60	$87.37	$1,018.08
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,917.00 / $9,500.00	Facility		$408.00	$1,917.00	$9,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $94.37 / $155.44 / $442.00	Professional		$94.37	$155.44	$442.00