Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.93 / $2,173.00 / $4,730.00	Facility		$399.93	$2,173.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.97 / $359.79 / $1,491.00	Professional		$314.97	$359.79	$1,491.00
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 $367.49 / $404.25 / $560.49	Professional		$367.49	$404.25	$560.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $882.01 / $882.01 / $882.01	Facility		$882.01	$882.01	$882.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.27 / $449.62 / $647.62	Professional		$311.27	$449.62	$647.62
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $438.89 / $865.88	Professional		$3.44	$438.89	$865.88
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,768.74 / $1,768.74 / $1,768.74	Facility		$1,768.74	$1,768.74	$1,768.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $376.56 / $1,367.18	Professional		$2.34	$376.56	$1,367.18
United Facility/Professional Facility Modifier Low / Median / High Price $359.79 / $1,277.00 / $1,998.00	Facility		$359.79	$1,277.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $327.45 / $425.69 / $673.48	Professional		$327.45	$425.69	$673.48