Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.42 / $2,173.00 / $4,841.00	Facility		$257.42	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.27 / $230.08 / $438.95	Professional		$126.27	$230.08	$438.95
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 $149.54 / $227.48 / $361.06	Professional		$149.54	$227.48	$361.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.57 / $173.57 / $173.57	Facility		$173.57	$173.57	$173.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.72 / $238.34 / $393.98	Professional		$161.72	$238.34	$393.98
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $153.03 / $231.08 / $400.71	Professional		$153.03	$231.08	$400.71
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 $153.03 / $229.55 / $270.26	Professional		$153.03	$229.55	$270.26
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 $211.14 / $283.05 / $1,115.00	Professional		$211.14	$283.05	$1,115.00