Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.87 / $1,706.00 / $4,473.00	Facility		$264.87	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.23 / $252.25 / $663.96	Professional		$92.23	$252.25	$663.96
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 $96.31 / $236.19 / $692.31	Professional		$96.31	$236.19	$692.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $349.64 / $349.64 / $349.64	Facility		$349.64	$349.64	$349.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.89 / $252.25 / $616.86	Professional		$74.89	$252.25	$616.86
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $259.55 / $575.70	Professional		$70.20	$259.55	$575.70
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $359.81 / $683.29 / $683.29	Facility		$359.81	$683.29	$683.29
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $83.36 / $389.33	Professional		$78.00	$83.36	$389.33
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,925.00 / $4,715.00	Facility		$408.00	$1,925.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.88 / $341.83 / $865.80	Professional		$227.88	$341.83	$865.80