Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.43 / $2,173.00 / $4,841.00	Facility		$331.43	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.32 / $261.20 / $444.10	Professional		$170.32	$261.20	$444.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.99 / $248.10 / $483.58	Professional		$163.99	$248.10	$483.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.60 / $170.50 / $182.33	Facility		$130.60	$170.50	$182.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.06 / $278.36 / $497.14	Professional		$161.06	$278.36	$497.14
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $121.70 / $274.69 / $595.17	Professional		$121.70	$274.69	$595.17
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $135.22 / $256.64 / $256.64	Facility		$135.22	$256.64	$256.64
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $177.65 / $224.19 / $336.29	Professional		$177.65	$224.19	$336.29
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,277.00 / $1,998.00	Facility		$200.00	$1,277.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $225.59 / $326.70 / $547.46	Professional		$225.59	$326.70	$547.46