Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.91 / $1,639.00 / $4,396.00	Facility		$221.91	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.04 / $165.72 / $256.39	Professional		$78.04	$165.72	$256.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,931.00 / $5,258.00	Facility		$3,072.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.67 / $169.37 / $317.01	Professional		$84.67	$169.37	$317.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,470.87 / $1,920.23 / $2,053.42	Facility		$1,470.87	$1,920.23	$2,053.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $163.35 / $328.63	Professional		$77.31	$163.35	$328.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $70.09 / $199.67 / $1,495.83	Professional		$70.09	$199.67	$1,495.83
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,495.83 / $3,030.83 / $3,030.83	Facility		$1,495.83	$3,030.83	$3,030.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $119.36 / $338.03	Professional		$79.56	$119.36	$338.03
United Facility/Professional Facility Modifier Low / Median / High Price $634.00 / $1,722.00 / $5,484.78	Facility		$634.00	$1,722.00	$5,484.78
United Facility/Professional Professional Modifier Low / Median / High Price $152.76 / $209.92 / $346.50	Professional		$152.76	$209.92	$346.50