Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $1,639.00 / $4,473.00	Facility		$494.00	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.94 / $397.43 / $662.18	Professional		$290.94	$397.43	$662.18
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 $275.27 / $418.77 / $723.06	Professional		$275.27	$418.77	$723.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.99 / $443.86 / $474.65	Facility		$339.99	$443.86	$474.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.18 / $421.02 / $738.52	Professional		$270.18	$421.02	$738.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $426.36 / $702.24	Professional		$160.00	$426.36	$702.24
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $390.12 / $3,584.18 / $3,584.18	Facility		$390.12	$3,584.18	$3,584.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $291.63 / $437.45 / $585.17	Professional		$291.63	$437.45	$585.17
United Facility/Professional Facility Modifier Low / Median / High Price $888.00 / $2,331.00 / $7,138.00	Facility		$888.00	$2,331.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $336.93 / $483.78 / $866.19	Professional		$336.93	$483.78	$866.19