Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.65 / $1,174.61 / $4,473.00	Facility		$368.65	$1,174.61	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.85 / $225.46 / $682.02	Professional		$124.85	$225.46	$682.02
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 $139.16 / $160.11 / $263.33	Professional		$139.16	$160.11	$263.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.34 / $112.34 / $112.34	Facility		$112.34	$112.34	$112.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.81 / $251.95 / $552.98	Professional		$130.81	$251.95	$552.98
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $193.70 / $504.68	Professional		$0.88	$193.70	$504.68
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $219.60 / $219.60 / $219.60	Facility		$219.60	$219.60	$219.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $172.65 / $560.76	Professional		$0.60	$172.65	$560.76
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 $239.54 / $313.35 / $541.55	Professional		$239.54	$313.35	$541.55