Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.87 / $1,639.00 / $4,473.00	Facility		$179.87	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.10 / $160.97 / $254.37	Professional		$125.10	$160.97	$254.37
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 $114.65 / $168.05 / $289.37	Professional		$114.65	$168.05	$289.37
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 $119.97 / $183.42 / $296.79	Professional		$119.97	$183.42	$296.79
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $103.07 / $189.28 / $339.38	Professional		$103.07	$189.28	$339.38
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 $126.77 / $165.45 / $272.89	Professional		$126.77	$165.45	$272.89
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 $144.71 / $190.00 / $330.71	Professional		$144.71	$190.00	$330.71