Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.55 / $1,639.00 / $4,396.00	Facility		$331.55	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.62 / $249.37 / $530.82	Professional		$155.62	$249.37	$530.82
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 $151.09 / $247.20 / $474.76	Professional		$151.09	$247.20	$474.76
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 $161.58 / $273.58 / $497.32	Professional		$161.58	$273.58	$497.32
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $286.51 / $1,495.83	Professional		$96.00	$286.51	$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 $163.72 / $245.58 / $509.88	Professional		$163.72	$245.58	$509.88
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 $233.41 / $318.33 / $558.69	Professional		$233.41	$318.33	$558.69