Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.75 / $2,173.00 / $4,841.00	Facility		$455.75	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.51 / $401.51 / $614.54	Professional		$275.51	$401.51	$614.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,647.00 / $5,379.00 / $8,190.00	Facility		$3,647.00	$5,379.00	$8,190.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.52 / $420.96 / $688.48	Professional		$299.52	$420.96	$688.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,069.49 / $4,007.23 / $4,285.17	Facility		$3,069.49	$4,007.23	$4,285.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.77 / $435.93 / $695.24	Professional		$281.77	$435.93	$695.24
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $196.28 / $430.88 / $3,159.35	Professional		$196.28	$430.88	$3,159.35
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,159.35 / $6,537.87 / $6,537.87	Facility		$3,159.35	$6,537.87	$6,537.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $261.70 / $392.55 / $646.32	Professional		$261.70	$392.55	$646.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,248.00 / $3,569.00 / $10,407.00	Facility		$1,248.00	$3,569.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $355.30 / $472.12 / $778.34	Professional		$355.30	$472.12	$778.34