Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $591.50 / $2,472.00 / $5,923.00	Facility		$591.50	$2,472.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.52 / $530.62 / $2,302.00	Professional		$337.52	$530.62	$2,302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,877.00 / $5,379.00 / $8,190.00	Facility		$3,877.00	$5,379.00	$8,190.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.24 / $481.11 / $749.44	Professional		$351.24	$481.11	$749.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,341.64 / $2,341.64 / $2,341.64	Facility		$2,341.64	$2,341.64	$2,341.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.85 / $521.39 / $820.73	Professional		$402.85	$521.39	$820.73
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $491.60 / $2,996.26	Professional		$5.03	$491.60	$2,996.26
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,397.01 / $5,455.67 / $5,455.67	Facility		$2,397.01	$5,455.67	$5,455.67
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.42 / $340.51 / $3,595.52	Professional		$3.42	$340.51	$3,595.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,000.00 / $9,042.00	Facility		$1,642.00	$3,000.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $377.28 / $545.52 / $712.92	Professional		$377.28	$545.52	$712.92