Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.62 / $1,639.00 / $4,396.00	Facility		$228.62	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.96 / $176.64 / $305.35	Professional		$86.96	$176.64	$305.35
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 $92.59 / $173.94 / $326.58	Professional		$92.59	$173.94	$326.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $665.97 / $869.42 / $929.73	Facility		$665.97	$869.42	$929.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.95 / $180.42 / $346.00	Professional		$90.95	$180.42	$346.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $74.30 / $204.45 / $685.78	Professional		$74.30	$204.45	$685.78
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $685.78 / $1,303.09 / $1,303.09	Facility		$685.78	$1,303.09	$1,303.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $84.14 / $126.21 / $348.38	Professional		$84.14	$126.21	$348.38
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 $170.98 / $217.20 / $352.96	Professional		$170.98	$217.20	$352.96