Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $784.00 / $1,713.00 / $5,434.00	Facility		$784.00	$1,713.00	$5,434.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.76 / $123.08 / $447.60	Professional		$82.76	$123.08	$447.60
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 $102.69 / $147.88 / $221.20	Professional		$102.69	$147.88	$221.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $397.29 / $397.29 / $397.29	Facility		$397.29	$397.29	$397.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.62 / $134.32 / $202.00	Professional		$76.62	$134.32	$202.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $65.54 / $133.00 / $405.72	Professional		$65.54	$133.00	$405.72
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $405.72 / $777.59 / $777.59	Facility		$405.72	$777.59	$777.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $72.81 / $109.23 / $190.49	Professional		$72.81	$109.23	$190.49
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 $135.26 / $180.01 / $241.95	Professional		$135.26	$180.01	$241.95