Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $486.89 / $1,639.00 / $4,473.00	Facility		$486.89	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.98 / $395.37 / $549.15	Professional		$311.98	$395.37	$549.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $4,589.00 / $6,006.00	Facility		$3,671.00	$4,589.00	$6,006.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.30 / $391.41 / $566.84	Professional		$319.30	$391.41	$566.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,264.58 / $1,264.58 / $1,264.58	Facility		$1,264.58	$1,264.58	$1,264.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.69 / $442.52 / $716.76	Professional		$278.69	$442.52	$716.76
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $264.14 / $504.80 / $1,303.54	Professional		$264.14	$504.80	$1,303.54
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,303.54 / $3,163.08 / $3,163.08	Facility		$1,303.54	$3,163.08	$3,163.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $298.32 / $317.23 / $700.25	Professional		$298.32	$317.23	$700.25
United Facility/Professional Facility Modifier Low / Median / High Price $522.00 / $1,891.00 / $5,724.10	Facility		$522.00	$1,891.00	$5,724.10
United Facility/Professional Professional Modifier Low / Median / High Price $407.20 / $534.64 / $802.74	Professional		$407.20	$534.64	$802.74