Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,713.00 / $5,554.35	Facility		$750.00	$1,713.00	$5,554.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.69 / $230.72 / $393.72	Professional		$146.69	$230.72	$393.72
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 $159.57 / $255.07 / $364.39	Professional		$159.57	$255.07	$364.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,009.94 / $1,009.94 / $1,009.94	Facility		$1,009.94	$1,009.94	$1,009.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.14 / $230.06 / $368.58	Professional		$122.14	$230.06	$368.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $111.70 / $237.20 / $1,046.24	Professional		$111.70	$237.20	$1,046.24
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,046.24 / $2,263.96 / $2,263.96	Facility		$1,046.24	$2,263.96	$2,263.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $124.11 / $134.72 / $359.19	Professional		$124.11	$134.72	$359.19
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 $244.08 / $357.51 / $461.04	Professional		$244.08	$357.51	$461.04