Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.32 / $3,509.00 / $7,674.00	Facility		$398.32	$3,509.00	$7,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.44 / $381.00 / $740.25	Professional		$326.44	$381.00	$740.25
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 $368.55 / $453.07 / $652.04	Professional		$368.55	$453.07	$652.04
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 $308.33 / $431.27 / $691.00	Professional		$308.33	$431.27	$691.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $290.83 / $482.09 / $1,814.89	Professional		$290.83	$482.09	$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 $335.29 / $362.87 / $628.82	Professional		$335.29	$362.87	$628.82
United Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $2,940.00 / $6,359.06	Facility		$765.00	$2,940.00	$6,359.06
United Facility/Professional Professional Modifier Low / Median / High Price $383.27 / $462.42 / $732.66	Professional		$383.27	$462.42	$732.66