Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $372.34 / $1,639.00 / $4,473.00	Facility		$372.34	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.47 / $285.94 / $498.26	Professional		$189.47	$285.94	$498.26
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 $176.50 / $282.75 / $545.90	Professional		$176.50	$282.75	$545.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.45 / $346.56 / $370.59	Facility		$265.45	$346.56	$370.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.90 / $302.23 / $548.30	Professional		$168.90	$302.23	$548.30
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $104.00 / $297.73 / $532.00	Professional		$104.00	$297.73	$532.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $303.54 / $1,637.08 / $1,637.08	Facility		$303.54	$1,637.08	$1,637.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $186.08 / $279.12 / $455.31	Professional		$186.08	$279.12	$455.31
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 $237.59 / $365.57 / $598.07	Professional		$237.59	$365.57	$598.07