Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.61 / $2,173.00 / $4,841.00	Facility		$490.61	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.81 / $397.68 / $767.47	Professional		$241.81	$397.68	$767.47
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 $221.80 / $359.29 / $684.33	Professional		$221.80	$359.29	$684.33
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 $253.93 / $392.34 / $666.59	Professional		$253.93	$392.34	$666.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $232.87 / $437.10 / $817.26	Professional		$232.87	$437.10	$817.26
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 $289.47 / $349.31 / $481.38	Professional		$289.47	$349.31	$481.38
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 $350.22 / $501.12 / $876.97	Professional		$350.22	$501.12	$876.97