Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.35 / $1,639.00 / $4,473.00	Facility		$461.35	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.58 / $393.72 / $612.47	Professional		$123.58	$393.72	$612.47
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 $116.65 / $356.66 / $666.28	Professional		$116.65	$356.66	$666.28
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 $128.60 / $307.00 / $697.99	Professional		$128.60	$307.00	$697.99
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $95.47 / $404.30 / $1,495.83	Professional		$95.47	$404.30	$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 $119.34 / $179.01 / $695.07	Professional		$119.34	$179.01	$695.07
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 $383.36 / $503.16 / $793.95	Professional		$383.36	$503.16	$793.95