Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $527.89 / $1,706.00 / $4,473.00	Facility		$527.89	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.89 / $427.55 / $1,813.12	Professional		$349.89	$427.55	$1,813.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,556.00 / $9,098.00 / $15,073.00	Facility		$6,556.00	$9,098.00	$15,073.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $356.10 / $466.21 / $681.91	Professional		$356.10	$466.21	$681.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,028.96 / $5,028.96 / $5,028.96	Facility		$5,028.96	$5,028.96	$5,028.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.47 / $462.56 / $676.81	Professional		$288.47	$462.56	$676.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $262.76 / $472.50 / $5,216.60	Professional		$262.76	$472.50	$5,216.60
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $5,216.60 / $10,219.77 / $10,219.77	Facility		$5,216.60	$10,219.77	$10,219.77
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $299.05 / $327.51 / $648.67	Professional		$299.05	$327.51	$648.67
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 $422.80 / $531.02 / $851.97	Professional		$422.80	$531.02	$851.97