Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $846.50 / $2,138.00 / $4,841.00	Facility		$846.50	$2,138.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.41 / $283.14 / $1,064.07	Professional		$153.41	$283.14	$1,064.07
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 $155.05 / $253.46 / $483.84	Professional		$155.05	$253.46	$483.84
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 $142.51 / $245.80 / $470.67	Professional		$142.51	$245.80	$470.67
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $119.37 / $252.00 / $1,046.24	Professional		$119.37	$252.00	$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 $132.63 / $144.44 / $445.19	Professional		$132.63	$144.44	$445.19
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,244.00	Facility		$721.00	$2,200.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $266.06 / $334.83 / $533.29	Professional		$266.06	$334.83	$533.29