Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $419.64 / $2,173.00 / $4,841.00	Facility		$419.64	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.44 / $390.65 / $688.51	Professional		$314.44	$390.65	$688.51
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 $338.10 / $453.33 / $648.66	Professional		$338.10	$453.33	$648.66
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 $270.20 / $399.75 / $608.48	Professional		$270.20	$399.75	$608.48
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $231.00 / $443.70 / $1,545.94	Professional		$231.00	$443.70	$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 $277.31 / $296.08 / $609.04	Professional		$277.31	$296.08	$609.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,205.44 / $2,940.00 / $7,138.00	Facility		$1,205.44	$2,940.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $366.07 / $465.22 / $699.20	Professional		$366.07	$465.22	$699.20