Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.76 / $2,472.00 / $5,923.00	Facility		$669.76	$2,472.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $466.14 / $649.25 / $1,095.68	Professional		$466.14	$649.25	$1,095.68
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 $466.33 / $655.42 / $1,004.99	Professional		$466.33	$655.42	$1,004.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,467.17 / $1,467.17 / $1,467.17	Facility		$1,467.17	$1,467.17	$1,467.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.33 / $612.34 / $990.97	Professional		$404.33	$612.34	$990.97
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $739.43 / $1,545.94	Professional		$350.00	$739.43	$1,545.94
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,545.94 / $3,584.18 / $3,584.18	Facility		$1,545.94	$3,584.18	$3,584.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $422.53 / $457.27 / $972.32	Professional		$422.53	$457.27	$972.32
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 $554.89 / $693.72 / $1,076.61	Professional		$554.89	$693.72	$1,076.61