Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $623.95 / $1,269.88 / $3,605.00	Facility		$623.95	$1,269.88	$3,605.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.04 / $159.55 / $389.40	Professional		$90.04	$159.55	$389.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,779.00 / $3,647.00 / $4,098.00	Facility		$2,779.00	$3,647.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.40 / $137.66 / $343.50	Professional		$78.40	$137.66	$343.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.50 / $202.50 / $202.50	Facility		$202.50	$202.50	$202.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.58 / $148.02 / $336.82	Professional		$84.58	$148.02	$336.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $99.33 / $204.71 / $405.66	Professional		$99.33	$204.71	$405.66
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $777.59 / $777.59 / $777.59	Facility		$777.59	$777.59	$777.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $102.18 / $156.74 / $351.21	Professional		$102.18	$156.74	$351.21
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,925.00 / $4,715.00	Facility		$408.00	$1,925.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $155.74 / $209.65 / $377.38	Professional		$155.74	$209.65	$377.38