Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.93 / $1,639.00 / $4,396.00	Facility		$275.93	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.96 / $236.00 / $405.28	Professional		$137.96	$236.00	$405.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,779.00 / $3,647.00 / $4,098.00	Facility		$2,779.00	$3,647.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.13 / $200.28 / $359.14	Professional		$137.13	$200.28	$359.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.84 / $186.84 / $186.84	Facility		$186.84	$186.84	$186.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.01 / $208.73 / $347.28	Professional		$131.01	$208.73	$347.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $127.92 / $214.75 / $395.11	Professional		$127.92	$214.75	$395.11
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 $127.92 / $191.88 / $292.85	Professional		$127.92	$191.88	$292.85
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 $198.00 / $259.48 / $476.50	Professional		$198.00	$259.48	$476.50