Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.95 / $2,173.00 / $4,841.00	Facility		$261.95	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.49 / $259.45 / $565.67	Professional		$124.49	$259.45	$565.67
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 $131.69 / $216.21 / $340.17	Professional		$131.69	$216.21	$340.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $665.38 / $665.38 / $665.38	Facility		$665.38	$665.38	$665.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.71 / $174.66 / $361.74	Professional		$99.71	$174.66	$361.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $212.79 / $678.72	Professional		$70.00	$212.79	$678.72
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $678.72 / $1,716.83 / $1,716.83	Facility		$678.72	$1,716.83	$1,716.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $95.37 / $143.06 / $383.78	Professional		$95.37	$143.06	$383.78
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,917.00 / $9,500.00	Facility		$408.00	$1,917.00	$9,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.88 / $274.95 / $409.41	Professional		$189.88	$274.95	$409.41