Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.97 / $2,173.00 / $4,841.00	Facility		$224.97	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.44 / $216.69 / $359.50	Professional		$138.44	$216.69	$359.50
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 $141.04 / $201.54 / $316.14	Professional		$141.04	$201.54	$316.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.11 / $151.11 / $151.11	Facility		$151.11	$151.11	$151.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.84 / $205.55 / $340.56	Professional		$136.84	$205.55	$340.56
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $126.35 / $190.79 / $346.29	Professional		$126.35	$190.79	$346.29
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 $126.35 / $189.53 / $228.18	Professional		$126.35	$189.53	$228.18
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 $186.69 / $240.36 / $419.59	Professional		$186.69	$240.36	$419.59