Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.40 / $1,706.00 / $4,473.00	Facility		$233.40	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.94 / $227.65 / $400.65	Professional		$157.94	$227.65	$400.65
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 $156.01 / $214.76 / $327.95	Professional		$156.01	$214.76	$327.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.44 / $151.44 / $151.44	Facility		$151.44	$151.44	$151.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.06 / $219.75 / $359.78	Professional		$151.06	$219.75	$359.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $137.26 / $207.26 / $359.23	Professional		$137.26	$207.26	$359.23
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 $137.26 / $205.89 / $236.98	Professional		$137.26	$205.89	$236.98
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 $197.89 / $251.50 / $439.11	Professional		$197.89	$251.50	$439.11