Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $493.93 / $2,173.00 / $4,841.00	Facility		$493.93	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.76 / $472.46 / $837.80	Professional		$296.76	$472.46	$837.80
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 $235.48 / $381.04 / $685.38	Professional		$235.48	$381.04	$685.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $345.41 / $345.41 / $345.41	Facility		$345.41	$345.41	$345.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.02 / $426.70 / $671.10	Professional		$253.02	$426.70	$671.10
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $291.83 / $476.14 / $832.90	Professional		$291.83	$476.14	$832.90
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $676.51 / $676.51 / $676.51	Facility		$676.51	$676.51	$676.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $306.27 / $460.79 / $634.25	Professional		$306.27	$460.79	$634.25
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,925.00 / $4,715.00	Facility		$408.00	$1,925.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $393.02 / $501.64 / $885.15	Professional		$393.02	$501.64	$885.15