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 $42.11 / $48.23 / $75.91	Professional		$42.11	$48.23	$75.91
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 $45.94 / $58.75 / $79.98	Professional		$45.94	$58.75	$79.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,761.57 / $1,761.57 / $1,761.57	Facility		$1,761.57	$1,761.57	$1,761.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.93 / $51.69 / $74.54	Professional		$40.93	$51.69	$74.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $60.34 / $2,268.61	Professional		$0.88	$60.34	$2,268.61
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,814.89 / $3,513.95 / $3,513.95	Facility		$1,814.89	$3,513.95	$3,513.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $46.25 / $2,722.34	Professional		$0.60	$46.25	$2,722.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,331.00 / $7,138.00	Facility		$1,282.00	$2,331.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.87 / $56.37 / $82.96	Professional		$43.87	$56.37	$82.96