Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $880.50 / $2,173.00 / $4,730.00	Facility		$880.50	$2,173.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.18 / $395.16 / $666.28	Professional		$143.18	$395.16	$666.28
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 $144.19 / $334.46 / $590.00	Professional		$144.19	$334.46	$590.00
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 $132.91 / $314.08 / $725.80	Professional		$132.91	$314.08	$725.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $112.55 / $336.06 / $1,046.24	Professional		$112.55	$336.06	$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 $125.06 / $134.66 / $530.63	Professional		$125.06	$134.66	$530.63
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 $378.00 / $535.23 / $745.95	Professional		$378.00	$535.23	$745.95