Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.55 / $2,173.00 / $4,841.00	Facility		$316.55	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.74 / $249.54 / $489.08	Professional		$154.74	$249.54	$489.08
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 $164.50 / $285.64 / $475.67	Professional		$164.50	$285.64	$475.67
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $313.12 / $368.38 / $409.32	Professional	50	$313.12	$368.38	$409.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.71 / $196.71 / $196.71	Facility		$196.71	$196.71	$196.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.78 / $232.11 / $411.91	Professional		$127.78	$232.11	$411.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $116.89 / $222.18 / $451.00	Professional		$116.89	$222.18	$451.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $205.75 / $1,905.85 / $1,905.85	Facility		$205.75	$1,905.85	$1,905.85
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $126.96 / $142.82 / $308.63	Professional		$126.96	$142.82	$308.63
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,317.00	Facility		$721.00	$2,200.00	$6,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $273.70 / $329.59 / $484.15	Professional		$273.70	$329.59	$484.15