Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.62 / $2,173.00 / $4,730.00	Facility		$378.62	$2,173.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.97 / $318.93 / $472.10	Professional		$208.97	$318.93	$472.10
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 $189.64 / $298.12 / $527.62	Professional		$189.64	$298.12	$527.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.57 / $225.57 / $225.57	Facility		$225.57	$225.57	$225.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.66 / $334.09 / $555.84	Professional		$200.66	$334.09	$555.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $209.58 / $333.85 / $620.59	Professional		$209.58	$333.85	$620.59
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $441.55 / $441.55 / $441.55	Facility		$441.55	$441.55	$441.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $221.09 / $331.64 / $374.63	Professional		$221.09	$331.64	$374.63
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $2,116.00	Facility		$200.00	$1,427.00	$2,116.00
United Facility/Professional Professional Modifier Low / Median / High Price $296.68 / $399.60 / $1,493.00	Professional		$296.68	$399.60	$1,493.00