Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.68 / $1,706.00 / $4,473.00	Facility		$299.68	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.00 / $278.12 / $1,247.00	Professional		$189.00	$278.12	$1,247.00
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 $203.95 / $290.73 / $431.42	Professional		$203.95	$290.73	$431.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.63 / $192.63 / $192.63	Facility		$192.63	$192.63	$192.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.26 / $267.42 / $434.53	Professional		$166.26	$267.42	$434.53
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $266.88 / $442.10	Professional		$108.00	$266.88	$442.10
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $203.99 / $1,637.08 / $1,637.08	Facility		$203.99	$1,637.08	$1,637.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $166.80 / $176.97 / $305.99	Professional		$166.80	$176.97	$305.99
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,244.00	Facility		$721.00	$2,200.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $335.79 / $499.57	Professional		$257.04	$335.79	$499.57