Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.37 / $2,173.00 / $4,841.00	Facility		$351.37	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.38 / $305.91 / $1,325.00	Professional		$199.38	$305.91	$1,325.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,931.00 / $5,258.00	Facility		$3,072.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.73 / $345.18 / $508.87	Professional		$231.73	$345.18	$508.87
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $339.23 / $399.10 / $443.44	Professional	50	$339.23	$399.10	$443.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $745.22 / $745.22 / $745.22	Facility		$745.22	$745.22	$745.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.67 / $300.70 / $501.96	Professional		$179.67	$300.70	$501.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $322.86 / $774.84	Professional		$140.00	$322.86	$774.84
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $774.84 / $1,790.66 / $1,790.66	Facility		$774.84	$1,790.66	$1,790.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $184.49 / $276.74 / $468.81	Professional		$184.49	$276.74	$468.81
United Facility/Professional Facility Modifier Low / Median / High Price $661.37 / $2,200.00 / $3,658.00	Facility		$661.37	$2,200.00	$3,658.00
United Facility/Professional Professional Modifier Low / Median / High Price $296.83 / $363.12 / $560.12	Professional		$296.83	$363.12	$560.12