Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.94 / $1,639.00 / $4,396.00	Facility		$228.94	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.58 / $197.65 / $362.24	Professional		$74.58	$197.65	$362.24
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 $81.19 / $181.64 / $337.32	Professional		$81.19	$181.64	$337.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $672.33 / $718.96	Facility		$515.00	$672.33	$718.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.54 / $215.15 / $366.31	Professional		$83.54	$215.15	$366.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $59.89 / $232.77 / $533.04	Professional		$59.89	$232.77	$533.04
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $533.04 / $1,007.60 / $1,007.60	Facility		$533.04	$1,007.60	$1,007.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $66.54 / $99.81 / $367.13	Professional		$66.54	$99.81	$367.13
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $1,967.00 / $6,244.00	Facility		$721.00	$1,967.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.14 / $261.39 / $411.12	Professional		$194.14	$261.39	$411.12