Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.65 / $2,173.00 / $4,841.00	Facility		$426.65	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.03 / $372.94 / $710.98	Professional		$238.03	$372.94	$710.98
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 $242.62 / $308.89 / $444.55	Professional		$242.62	$308.89	$444.55
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $435.69 / $512.58 / $569.53	Professional	50	$435.69	$512.58	$569.53
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 $214.33 / $367.69 / $617.14	Professional		$214.33	$367.69	$617.14
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $411.44 / $1,303.54	Professional		$180.00	$411.44	$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 $235.11 / $249.04 / $604.91	Professional		$235.11	$249.04	$604.91
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,244.00	Facility		$721.00	$2,200.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $338.85 / $440.97 / $691.73	Professional		$338.85	$440.97	$691.73