Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,210.00 / $2,173.00 / $4,841.00	Facility		$1,210.00	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.44 / $171.12 / $261.48	Professional		$146.44	$171.12	$261.48
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 $170.46 / $253.56 / $307.70	Professional		$170.46	$253.56	$307.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.34 / $112.34 / $112.34	Facility		$112.34	$112.34	$112.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.51 / $213.35 / $409.71	Professional		$157.51	$213.35	$409.71
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.80 / $192.22 / $296.00	Professional		$2.80	$192.22	$296.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $219.60 / $219.60 / $219.60	Facility		$219.60	$219.60	$219.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $164.64 / $253.71	Professional		$2.10	$164.64	$253.71
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 $172.43 / $260.41 / $412.38	Professional		$172.43	$260.41	$412.38