Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.64 / $1,706.00 / $4,473.00	Facility		$787.64	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.62 / $787.64 / $1,024.01	Professional		$163.62	$787.64	$1,024.01
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 $177.76 / $661.05 / $1,197.31	Professional		$177.76	$661.05	$1,197.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $621.11 / $621.11 / $621.11	Facility		$621.11	$621.11	$621.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.93 / $668.09 / $1,165.39	Professional		$146.93	$668.09	$1,165.39
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $134.18 / $639.34 / $1,202.74	Professional		$134.18	$639.34	$1,202.74
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $672.99 / $2,263.96 / $2,263.96	Facility		$672.99	$2,263.96	$2,263.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $141.87 / $154.63 / $1,009.49	Professional		$141.87	$154.63	$1,009.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,940.00 / $7,138.00	Facility		$1,282.00	$2,940.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $759.96 / $1,029.96 / $1,385.54	Professional		$759.96	$1,029.96	$1,385.54