Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $952.16 / $2,472.00 / $5,923.00	Facility		$952.16	$2,472.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $571.97 / $721.20 / $1,078.83	Professional		$571.97	$721.20	$1,078.83
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 $593.40 / $724.32 / $842.49	Professional		$593.40	$724.32	$842.49
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $955.66 / $1,124.30 / $1,249.23	Professional	50	$955.66	$1,124.30	$1,249.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,079.51 / $1,079.51 / $1,079.51	Facility		$1,079.51	$1,079.51	$1,079.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.86 / $809.83 / $1,236.10	Professional		$546.86	$809.83	$1,236.10
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $495.86 / $923.96 / $1,377.40	Professional		$495.86	$923.96	$1,377.40
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,578.34 / $2,578.34 / $2,578.34	Facility		$2,578.34	$2,578.34	$2,578.34
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $550.96 / $742.23 / $1,168.47	Professional		$550.96	$742.23	$1,168.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,036.84 / $2,625.00 / $4,665.92	Facility		$1,036.84	$2,625.00	$4,665.92
United Facility/Professional Professional Modifier Low / Median / High Price $634.45 / $790.56 / $1,361.53	Professional		$634.45	$790.56	$1,361.53