Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.20 / $1,639.00 / $4,473.00	Facility		$276.20	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.06 / $228.81 / $372.62	Professional		$163.06	$228.81	$372.62
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 $173.18 / $246.78 / $409.14	Professional		$173.18	$246.78	$409.14
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 $162.07 / $265.64 / $416.60	Professional		$162.07	$265.64	$416.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $142.53 / $259.75 / $410.41	Professional		$142.53	$259.75	$410.41
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 $160.44 / $240.68 / $389.63	Professional		$160.44	$240.68	$389.63
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 $203.11 / $281.02 / $460.53	Professional		$203.11	$281.02	$460.53