Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.15 / $1,706.00 / $4,473.00	Facility		$247.15	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.79 / $223.75 / $1,023.89	Professional		$187.79	$223.75	$1,023.89
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 $144.87 / $175.81 / $318.52	Professional		$144.87	$175.81	$318.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.65 / $135.65 / $135.65	Facility		$135.65	$135.65	$135.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.21 / $238.45 / $383.08	Professional		$135.21	$238.45	$383.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $216.58 / $382.09	Professional		$2.47	$216.58	$382.09
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $265.11 / $265.11 / $265.11	Facility		$265.11	$265.11	$265.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.68 / $212.30 / $398.01	Professional		$1.68	$212.30	$398.01
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 $156.24 / $229.95 / $381.28	Professional		$156.24	$229.95	$381.28