Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.18 / $1,706.00 / $4,473.00	Facility		$242.18	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.04 / $215.19 / $326.75	Professional		$119.04	$215.19	$326.75
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 $138.12 / $211.20 / $340.20	Professional		$138.12	$211.20	$340.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.77 / $166.77 / $166.77	Facility		$166.77	$166.77	$166.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.01 / $223.77 / $375.54	Professional		$144.01	$223.77	$375.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $142.22 / $214.77 / $375.31	Professional		$142.22	$214.77	$375.31
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 $142.22 / $213.35 / $256.05	Professional		$142.22	$213.35	$256.05
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,917.00 / $4,661.00	Facility		$408.00	$1,917.00	$4,661.00
United Facility/Professional Professional Modifier Low / Median / High Price $203.40 / $261.64 / $456.75	Professional		$203.40	$261.64	$456.75