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 $39.29 / $39.96 / $69.23	Professional		$39.29	$39.96	$69.23
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 $37.28 / $45.10 / $64.91	Professional		$37.28	$45.10	$64.91
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 $32.02 / $44.65 / $66.52	Professional		$32.02	$44.65	$66.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.14 / $45.60 / $1,307.80	Professional		$1.14	$45.60	$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 $0.78 / $35.50 / $1,569.36	Professional		$0.78	$35.50	$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 $38.85 / $45.93 / $67.70	Professional		$38.85	$45.93	$67.70