Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $2,173.00 / $4,730.00	Facility		$950.00	$2,173.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.24 / $220.37 / $1,081.00	Professional		$121.24	$220.37	$1,081.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.88 / $149.00 / $231.92	Professional		$129.88	$149.00	$231.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.77 / $166.77 / $166.77	Facility		$166.77	$166.77	$166.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.40 / $244.53 / $395.57	Professional		$137.40	$244.53	$395.57
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $199.84 / $364.66	Professional		$1.50	$199.84	$364.66
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $777.59 / $777.59 / $777.59	Facility		$777.59	$777.59	$777.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.02 / $189.72 / $357.72	Professional		$1.02	$189.72	$357.72
United Facility/Professional Facility Modifier Low / Median / High Price $172.28 / $1,522.00 / $4,661.00	Facility		$172.28	$1,522.00	$4,661.00
United Facility/Professional Professional Modifier Low / Median / High Price $219.83 / $288.41 / $481.81	Professional		$219.83	$288.41	$481.81