Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $420.02 / $1,706.00 / $4,473.00	Facility		$420.02	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.43 / $416.02 / $653.54	Professional		$87.43	$416.02	$653.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $5,484.00 / $9,964.00	Facility		$1,529.00	$5,484.00	$9,964.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $385.99 / $636.45	Professional		$94.64	$385.99	$636.45
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 $74.23 / $340.72 / $600.04	Professional		$74.23	$340.72	$600.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $65.03 / $327.73 / $600.88	Professional		$65.03	$327.73	$600.88
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 $72.26 / $108.39 / $539.72	Professional		$72.26	$108.39	$539.72
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,925.00 / $9,500.00	Facility		$408.00	$1,925.00	$9,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $431.90 / $550.25 / $777.43	Professional		$431.90	$550.25	$777.43