Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.48 / $1,639.00 / $4,396.00	Facility		$243.48	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.08 / $182.54 / $326.02	Professional		$99.08	$182.54	$326.02
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 $109.72 / $194.74 / $346.75	Professional		$109.72	$194.74	$346.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,470.87 / $1,920.23 / $2,053.42	Facility		$1,470.87	$1,920.23	$2,053.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.14 / $193.58 / $365.22	Professional		$106.14	$193.58	$365.22
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $85.13 / $228.36 / $1,495.83	Professional		$85.13	$228.36	$1,495.83
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,495.83 / $3,030.83 / $3,030.83	Facility		$1,495.83	$3,030.83	$3,030.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $97.17 / $145.76 / $365.42	Professional		$97.17	$145.76	$365.42
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 $179.50 / $239.89 / $377.50	Professional		$179.50	$239.89	$377.50