Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.12 / $1,639.00 / $4,473.00	Facility		$270.12	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.93 / $233.67 / $368.90	Professional		$174.93	$233.67	$368.90
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 $169.18 / $236.64 / $416.09	Professional		$169.18	$236.64	$416.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.27 / $375.04 / $401.06	Facility		$287.27	$375.04	$401.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.64 / $260.77 / $410.00	Professional		$174.64	$260.77	$410.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $255.26 / $401.09	Professional		$128.00	$255.26	$401.09
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $308.52 / $562.80 / $562.80	Facility		$308.52	$562.80	$562.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $166.74 / $244.56 / $380.00	Professional		$166.74	$244.56	$380.00
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 $214.70 / $281.94 / $473.22	Professional		$214.70	$281.94	$473.22