Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.25 / $1,639.00 / $4,396.00	Facility		$214.25	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.90 / $172.86 / $343.28	Professional		$118.90	$172.86	$343.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,779.00 / $3,647.00 / $4,098.00	Facility		$2,779.00	$3,647.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.05 / $172.84 / $316.88	Professional		$120.05	$172.84	$316.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.55 / $196.42 / $332.09	Professional		$127.55	$196.42	$332.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.14 / $173.09 / $319.52	Professional		$1.14	$173.09	$319.52
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $441.01 / $441.01 / $441.01	Facility		$441.01	$441.01	$441.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $122.10 / $319.52	Professional		$0.78	$122.10	$319.52
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 $161.31 / $218.80 / $362.90	Professional		$161.31	$218.80	$362.90