Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.00 / $1,713.00 / $4,473.00	Facility		$911.00	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.43 / $68.43 / $357.91	Professional		$68.43	$68.43	$357.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,214.00 / $3,931.00 / $5,258.00	Facility		$3,214.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.87 / $79.33 / $114.18	Professional		$65.87	$79.33	$114.18
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 $56.45 / $79.53 / $143.58	Professional		$56.45	$79.53	$143.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.44 / $80.64 / $1,307.80	Professional		$0.44	$80.64	$1,307.80
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 $0.30 / $66.52 / $1,569.36	Professional		$0.30	$66.52	$1,569.36
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 $68.25 / $82.42 / $132.59	Professional		$68.25	$82.42	$132.59