Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $939.00 / $1,713.00 / $10,300.00	Facility		$939.00	$1,713.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.74 / $1,863.52 / $3,237.35	Professional		$367.74	$1,863.52	$3,237.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,212.00 / $18,640.00 / $36,331.00	Facility		$13,212.00	$18,640.00	$36,331.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.74 / $334.62 / $646.25	Professional		$143.74	$334.62	$646.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,564.56 / $9,564.56 / $9,564.56	Facility		$9,564.56	$9,564.56	$9,564.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $395.42 / $4,127.91	Professional		$180.00	$395.42	$4,127.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $568.13 / $9,028.46	Professional		$4.05	$568.13	$9,028.46
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $13,781.94 / $13,781.94 / $13,781.94	Facility		$13,781.94	$13,781.94	$13,781.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.76 / $655.53 / $13,542.71	Professional		$2.76	$655.53	$13,542.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,371.00 / $4,776.00 / $49,537.00	Facility		$2,371.00	$4,776.00	$49,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $188.86 / $1,348.85 / $4,249.31	Professional		$188.86	$1,348.85	$4,249.31