Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.10 / $1,706.00 / $4,473.00	Facility		$317.10	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.92 / $287.13 / $1,074.93	Professional		$192.92	$287.13	$1,074.93
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 $205.07 / $315.50 / $519.62	Professional		$205.07	$315.50	$519.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,264.58 / $1,264.58 / $1,264.58	Facility		$1,264.58	$1,264.58	$1,264.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.38 / $283.23 / $505.00	Professional		$156.38	$283.23	$505.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $355.41 / $1,303.54	Professional		$117.00	$355.41	$1,303.54
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,303.54 / $3,163.08 / $3,163.08	Facility		$1,303.54	$3,163.08	$3,163.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $204.64 / $212.82 / $563.48	Professional		$204.64	$212.82	$563.48
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 $272.60 / $366.60 / $573.38	Professional		$272.60	$366.60	$573.38