Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $696.78 / $2,173.00 / $4,841.00	Facility		$696.78	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.64 / $530.49 / $696.78	Professional		$251.64	$530.49	$696.78
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 $254.65 / $500.04 / $827.56	Professional		$254.65	$500.04	$827.56
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 $232.93 / $423.41 / $895.01	Professional		$232.93	$423.41	$895.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $464.54 / $1,091.46	Professional		$190.00	$464.54	$1,091.46
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 $215.92 / $236.11 / $774.24	Professional		$215.92	$236.11	$774.24
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 $492.48 / $734.30 / $997.42	Professional		$492.48	$734.30	$997.42