Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.21 / $1,706.00 / $4,473.00	Facility		$387.21	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.29 / $352.36 / $1,471.04	Professional		$245.29	$352.36	$1,471.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,931.00 / $5,258.00	Facility		$3,072.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.08 / $342.86 / $457.49	Professional		$293.08	$342.86	$457.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $258.31 / $258.31 / $258.31	Facility		$258.31	$258.31	$258.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $417.80 / $600.16	Professional		$250.00	$417.80	$600.16
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $343.77 / $550.04	Professional		$5.29	$343.77	$550.04
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,584.18 / $3,584.18 / $3,584.18	Facility		$3,584.18	$3,584.18	$3,584.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $362.82 / $572.96	Professional		$3.60	$362.82	$572.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,940.00 / $7,138.00	Facility		$1,282.00	$2,940.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $337.85 / $445.60 / $701.84	Professional		$337.85	$445.60	$701.84