Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $618.00 / $2,472.00 / $4,730.00	Facility		$618.00	$2,472.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.21 / $407.57 / $673.63	Professional		$375.21	$407.57	$673.63
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 $419.32 / $515.49 / $741.88	Professional		$419.32	$515.49	$741.88
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 $341.31 / $473.87 / $685.05	Professional		$341.31	$473.87	$685.05
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $493.74 / $2,268.61	Professional		$12.17	$493.74	$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 $8.27 / $411.87 / $2,722.34	Professional		$8.27	$411.87	$2,722.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,947.00 / $7,221.00	Facility		$1,282.00	$2,947.00	$7,221.00
United Facility/Professional Professional Modifier Low / Median / High Price $377.11 / $484.40 / $802.58	Professional		$377.11	$484.40	$802.58