Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.74 / $1,639.00 / $4,473.00	Facility		$276.74	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.96 / $236.62 / $449.76	Professional		$135.96	$236.62	$449.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,214.00 / $3,931.00 / $5,258.00	Facility		$3,214.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.85 / $237.96 / $406.85	Professional		$141.85	$237.96	$406.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.31 / $252.37 / $269.87	Facility		$193.31	$252.37	$269.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.61 / $236.58 / $415.10	Professional		$139.61	$236.58	$415.10
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $218.23 / $359.06	Professional		$40.00	$218.23	$359.06
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $198.39 / $1,637.08 / $1,637.08	Facility		$198.39	$1,637.08	$1,637.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $131.94 / $197.91 / $297.58	Professional		$131.94	$197.91	$297.58
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $1,967.00 / $6,244.00	Facility		$721.00	$1,967.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.86 / $279.85 / $463.39	Professional		$207.86	$279.85	$463.39