Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.59 / $2,472.00 / $5,923.00	Facility		$455.59	$2,472.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.04 / $361.48 / $625.00	Professional		$247.04	$361.48	$625.00
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 $252.57 / $366.63 / $668.31	Professional		$252.57	$366.63	$668.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.30 / $399.88 / $427.61	Facility		$306.30	$399.88	$427.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.11 / $387.74 / $669.16	Professional		$239.11	$387.74	$669.16
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $355.38 / $596.62	Professional		$200.00	$355.38	$596.62
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $316.51 / $3,584.18 / $3,584.18	Facility		$316.51	$3,584.18	$3,584.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $236.92 / $355.38 / $474.77	Professional		$236.92	$355.38	$474.77
United Facility/Professional Facility Modifier Low / Median / High Price $888.00 / $2,331.00 / $7,138.00	Facility		$888.00	$2,331.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $326.80 / $446.16 / $735.16	Professional		$326.80	$446.16	$735.16