Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.90 / $2,173.00 / $4,841.00	Facility		$241.90	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.94 / $199.94 / $379.79	Professional		$163.94	$199.94	$379.79
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 $193.99 / $243.00 / $363.79	Professional		$193.99	$243.00	$363.79
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 $150.51 / $207.48 / $331.56	Professional		$150.51	$207.48	$331.56
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $136.53 / $239.69 / $1,814.89	Professional		$136.53	$239.69	$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 $151.69 / $167.05 / $329.85	Professional		$151.69	$167.05	$329.85
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 $170.55 / $221.71 / $379.01	Professional		$170.55	$221.71	$379.01