Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.13 / $1,706.00 / $4,473.00	Facility		$324.13	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.40 / $307.83 / $560.35	Professional		$110.40	$307.83	$560.35
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 $118.26 / $230.50 / $446.04	Professional		$118.26	$230.50	$446.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.59 / $219.59 / $219.59	Facility		$219.59	$219.59	$219.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.46 / $232.78 / $463.04	Professional		$90.46	$232.78	$463.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $224.32 / $483.76	Professional		$86.00	$224.32	$483.76
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $224.32 / $429.15 / $429.15	Facility		$224.32	$429.15	$429.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $95.55 / $99.79 / $336.48	Professional		$95.55	$99.79	$336.48
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,277.00 / $1,975.00	Facility		$200.00	$1,277.00	$1,975.00
United Facility/Professional Professional Modifier Low / Median / High Price $271.60 / $378.62 / $514.29	Professional		$271.60	$378.62	$514.29