Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.45 / $1,706.00 / $4,473.00	Facility		$258.45	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.75 / $214.12 / $406.89	Professional		$172.75	$214.12	$406.89
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 $206.45 / $263.66 / $388.81	Professional		$206.45	$263.66	$388.81
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 $162.96 / $222.33 / $355.10	Professional		$162.96	$222.33	$355.10
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $147.19 / $258.42 / $1,814.89	Professional		$147.19	$258.42	$1,814.89
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 $163.56 / $179.24 / $359.18	Professional		$163.56	$179.24	$359.18
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 $184.73 / $248.43 / $406.01	Professional		$184.73	$248.43	$406.01