Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.19 / $1,639.00 / $4,473.00	Facility		$323.19	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.35 / $240.72 / $433.74	Professional		$127.35	$240.72	$433.74
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 $147.44 / $262.69 / $512.26	Professional		$147.44	$262.69	$512.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $909.22 / $1,186.98 / $1,269.31	Facility		$909.22	$1,186.98	$1,269.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.47 / $279.45 / $524.39	Professional		$139.47	$279.45	$524.39
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $105.54 / $298.88 / $933.86	Professional		$105.54	$298.88	$933.86
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $933.86 / $2,096.52 / $2,096.52	Facility		$933.86	$2,096.52	$2,096.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $117.27 / $175.91 / $509.42	Professional		$117.27	$175.91	$509.42
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,317.00	Facility		$721.00	$2,200.00	$6,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $276.76 / $378.23 / $564.59	Professional		$276.76	$378.23	$564.59