Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.56 / $2,173.00 / $4,841.00	Facility		$206.56	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.96 / $203.24 / $266.64	Professional		$144.96	$203.24	$266.64
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 $155.02 / $216.90 / $302.30	Professional		$155.02	$216.90	$302.30
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 $116.25 / $206.56 / $309.83	Professional		$116.25	$206.56	$309.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $115.33 / $202.36 / $1,046.24	Professional		$115.33	$202.36	$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 $128.13 / $136.71 / $303.54	Professional		$128.13	$136.71	$303.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,299.00 / $7,138.00	Facility		$1,282.00	$2,299.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.25 / $249.75 / $349.66	Professional		$194.25	$249.75	$349.66