Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $476.51 / $1,706.00 / $4,473.00	Facility		$476.51	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.33 / $476.51 / $703.21	Professional		$444.33	$476.51	$703.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $4,589.00 / $6,006.00	Facility		$3,671.00	$4,589.00	$6,006.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $440.29 / $514.79 / $778.98	Professional		$440.29	$514.79	$778.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,264.58 / $1,264.58 / $1,264.58	Facility		$1,264.58	$1,264.58	$1,264.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.96 / $500.60 / $743.14	Professional		$377.96	$500.60	$743.14
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $325.02 / $541.96 / $1,303.54	Professional		$325.02	$541.96	$1,303.54
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,303.54 / $3,163.08 / $3,163.08	Facility		$1,303.54	$3,163.08	$3,163.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $391.37 / $414.38 / $706.91	Professional		$391.37	$414.38	$706.91
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 $457.80 / $551.79 / $824.04	Professional		$457.80	$551.79	$824.04