Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $2,173.00 / $4,841.00	Facility		$950.00	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.28 / $686.78 / $1,055.11	Professional		$183.28	$686.78	$1,055.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,886.00 / $6,164.00 / $9,964.00	Facility		$4,886.00	$6,164.00	$9,964.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.86 / $808.35 / $1,317.19	Professional		$215.86	$808.35	$1,317.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,124.83 / $2,124.83 / $2,124.83	Facility		$2,124.83	$2,124.83	$2,124.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.85 / $652.00 / $1,268.48	Professional		$166.85	$652.00	$1,268.48
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $146.38 / $719.07 / $2,151.38	Professional		$146.38	$719.07	$2,151.38
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,151.38 / $3,478.55 / $3,478.55	Facility		$2,151.38	$3,478.55	$3,478.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $162.65 / $243.98 / $1,134.66	Professional		$162.65	$243.98	$1,134.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,644.00 / $9,500.00	Facility		$1,642.00	$3,644.00	$9,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $645.55 / $982.45 / $1,741.00	Professional		$645.55	$982.45	$1,741.00