Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.16 / $2,173.00 / $4,841.00	Facility		$787.16	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.89 / $567.90 / $835.90	Professional		$414.89	$567.90	$835.90
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 $428.01 / $527.44 / $649.53	Professional		$428.01	$527.44	$649.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,277.64 / $1,277.64 / $1,277.64	Facility		$1,277.64	$1,277.64	$1,277.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.89 / $604.00 / $887.28	Professional		$400.89	$604.00	$887.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $368.22 / $707.79 / $1,311.23	Professional		$368.22	$707.79	$1,311.23
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,520.62 / $2,520.62 / $2,520.62	Facility		$2,520.62	$2,520.62	$2,520.62
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $409.13 / $610.16 / $960.24	Professional		$409.13	$610.16	$960.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,940.00 / $7,138.00	Facility		$1,282.00	$2,940.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $545.67 / $657.26 / $1,129.64	Professional		$545.67	$657.26	$1,129.64