Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.94 / $2,472.00 / $5,923.00	Facility		$164.94	$2,472.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.76 / $137.51 / $645.86	Professional		$121.76	$137.51	$645.86
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 $137.53 / $175.57 / $254.56	Professional		$137.53	$175.57	$254.56
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 $97.02 / $136.81 / $244.04	Professional		$97.02	$136.81	$244.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $101.10 / $171.86 / $1,814.89	Professional		$101.10	$171.86	$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 $112.33 / $123.77 / $222.15	Professional		$112.33	$123.77	$222.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,947.00 / $7,138.00	Facility		$1,282.00	$2,947.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.90 / $161.19 / $260.58	Professional		$108.90	$161.19	$260.58