Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.19 / $2,703.50 / $3,142.44	Facility		$309.19	$2,703.50	$3,142.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.98 / $100.99 / $511.00	Professional		$88.98	$100.99	$511.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,214.00 / $3,931.00 / $5,258.00	Facility		$3,214.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.87 / $124.70 / $175.61	Professional		$100.87	$124.70	$175.61
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 $89.51 / $121.84 / $178.26	Professional		$89.51	$121.84	$178.26
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $144.10 / $2,268.61	Professional		$3.09	$144.10	$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 $2.10 / $97.33 / $2,722.34	Professional		$2.10	$97.33	$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 $105.00 / $126.08 / $183.00	Professional		$105.00	$126.08	$183.00