Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $2,173.00 / $4,841.00	Facility		$950.00	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.88 / $455.43 / $690.37	Professional		$380.88	$455.43	$690.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,647.00 / $5,379.00 / $8,190.00	Facility		$3,647.00	$5,379.00	$8,190.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $381.93 / $483.31 / $789.37	Professional		$381.93	$483.31	$789.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,166.50 / $4,133.87 / $4,420.60	Facility		$3,166.50	$4,133.87	$4,420.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.97 / $504.60 / $751.46	Professional		$367.97	$504.60	$751.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.08 / $482.37 / $3,993.90	Professional		$4.08	$482.37	$3,993.90
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,328.25 / $5,974.27 / $5,974.27	Facility		$3,328.25	$5,974.27	$5,974.27
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $395.27 / $4,992.38	Professional		$3.06	$395.27	$4,992.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,965.00 / $11,445.00	Facility		$1,642.00	$3,965.00	$11,445.00
United Facility/Professional Professional Modifier Low / Median / High Price $376.42 / $497.38 / $847.00	Professional		$376.42	$497.38	$847.00