Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $618.00 / $2,599.00 / $5,923.00	Facility		$618.00	$2,599.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.15 / $298.70 / $586.76	Professional		$203.15	$298.70	$586.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $4,589.00 / $6,006.00	Facility		$3,671.00	$4,589.00	$6,006.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.60 / $322.66 / $565.48	Professional		$202.60	$322.66	$565.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,417.69 / $2,417.69 / $2,417.69	Facility		$2,417.69	$2,417.69	$2,417.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.65 / $303.12 / $533.62	Professional		$187.65	$303.12	$533.62
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $156.10 / $314.83 / $2,482.42	Professional		$156.10	$314.83	$2,482.42
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,482.42 / $3,811.73 / $3,811.73	Facility		$2,482.42	$3,811.73	$3,811.73
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $173.44 / $189.89 / $515.42	Professional		$173.44	$189.89	$515.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $2,661.00 / $9,042.00	Facility		$1,642.00	$2,661.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $307.57 / $391.20 / $596.57	Professional		$307.57	$391.20	$596.57