Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.25 / $1,639.00 / $4,396.00	Facility		$356.25	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.38 / $136.28 / $255.28	Professional		$53.38	$136.28	$255.28
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 $58.26 / $151.86 / $208.95	Professional		$58.26	$151.86	$208.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.42 / $117.42 / $117.42	Facility		$117.42	$117.42	$117.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.20 / $121.80 / $213.14	Professional		$49.20	$121.80	$213.14
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $132.25 / $227.63	Professional		$45.77	$132.25	$227.63
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 $45.77 / $68.66 / $180.35	Professional		$45.77	$68.66	$180.35
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 $30.00 / $164.16 / $592.00	Professional		$30.00	$164.16	$592.00