Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,210.00 / $2,173.00 / $4,841.00	Facility		$1,210.00	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.02 / $135.46 / $644.00	Professional		$114.02	$135.46	$644.00
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 $128.51 / $155.44 / $223.72	Professional		$128.51	$155.44	$223.72
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 $108.45 / $147.35 / $223.04	Professional		$108.45	$147.35	$223.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $158.79 / $2,268.61	Professional		$1.76	$158.79	$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 $1.20 / $124.83 / $2,722.34	Professional		$1.20	$124.83	$2,722.34
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 $114.92 / $157.85 / $1,286.00	Professional		$114.92	$157.85	$1,286.00