Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,210.00 / $2,173.00 / $4,841.00	Facility		$1,210.00	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $528.94 / $649.34 / $987.92	Professional		$528.94	$649.34	$987.92
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 $527.17 / $552.51 / $776.10	Professional		$527.17	$552.51	$776.10
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $704.45 / $828.76 / $920.85	Professional	50	$704.45	$828.76	$920.85
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 $430.64 / $647.41 / $1,100.90	Professional		$430.64	$647.41	$1,100.90
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $738.14 / $1,282.90	Professional		$17.28	$738.14	$1,282.90
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 $8.64 / $576.79 / $1,704.81	Professional		$8.64	$576.79	$1,704.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,331.00 / $7,138.00	Facility		$1,282.00	$2,331.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $493.96 / $602.24 / $1,058.33	Professional		$493.96	$602.24	$1,058.33