Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $643.29 / $1,639.00 / $4,473.00	Facility		$643.29	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.50 / $348.30 / $870.86	Professional		$61.50	$348.30	$870.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.63 / $527.04 / $1,061.07	Professional		$71.63	$527.04	$1,061.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $529.64 / $691.45 / $739.41	Facility		$529.64	$691.45	$739.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.86 / $582.41 / $1,029.27	Professional		$65.86	$582.41	$1,029.27
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $50.06 / $493.00 / $857.75	Professional		$50.06	$493.00	$857.75
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $519.85 / $1,036.17 / $1,036.17	Facility		$519.85	$1,036.17	$1,036.17
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $55.62 / $83.43 / $779.78	Professional		$55.62	$83.43	$779.78
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,317.00	Facility		$721.00	$2,200.00	$6,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $604.86 / $810.00 / $1,256.92	Professional		$604.86	$810.00	$1,256.92