Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $452.75 / $1,639.00 / $4,473.00	Facility		$452.75	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.63 / $343.69 / $605.65	Professional		$154.63	$343.69	$605.65
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 $155.24 / $325.75 / $653.17	Professional		$155.24	$325.75	$653.17
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 $157.53 / $326.14 / $656.48	Professional		$157.53	$326.14	$656.48
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $126.59 / $358.95 / $933.86	Professional		$126.59	$358.95	$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 $140.66 / $210.99 / $699.96	Professional		$140.66	$210.99	$699.96
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 $331.47 / $453.80 / $706.41	Professional		$331.47	$453.80	$706.41