Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,370.64 / $2,173.00 / $4,396.00	Facility		$1,370.64	$2,173.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.43 / $178.16 / $373.60	Professional		$103.43	$178.16	$373.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.93 / $222.32 / $313.89	Professional		$177.93	$222.32	$313.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $345.41 / $345.41 / $345.41	Facility		$345.41	$345.41	$345.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.61 / $218.95 / $339.10	Professional		$136.61	$218.95	$339.10
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $135.97 / $248.66 / $465.11	Professional		$135.97	$248.66	$465.11
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $676.51 / $676.51 / $676.51	Facility		$676.51	$676.51	$676.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $135.97 / $203.96 / $356.42	Professional		$135.97	$203.96	$356.42
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $1,998.00	Facility		$200.00	$1,427.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.38 / $252.31 / $419.97	Professional		$220.38	$252.31	$419.97