Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.90 / $1,639.00 / $4,473.00	Facility		$226.90	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.12 / $186.75 / $302.86	Professional		$113.12	$186.75	$302.86
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 $105.38 / $180.09 / $333.72	Professional		$105.38	$180.09	$333.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,467.17 / $1,915.40 / $2,048.25	Facility		$1,467.17	$1,915.40	$2,048.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.03 / $192.41 / $350.00	Professional		$111.03	$192.41	$350.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $195.93 / $1,545.94	Professional		$88.00	$195.93	$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 $111.96 / $167.94 / $321.89	Professional		$111.96	$167.94	$321.89
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $1,967.00 / $6,244.00	Facility		$721.00	$1,967.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.61 / $223.89 / $364.65	Professional		$174.61	$223.89	$364.65