Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.22 / $1,639.00 / $3,959.00	Facility		$388.22	$1,639.00	$3,959.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $168.58 / $415.40	Professional		$87.98	$168.58	$415.40
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 $83.60 / $162.69 / $362.37	Professional		$83.60	$162.69	$362.37
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 $91.93 / $180.50 / $375.00	Professional		$91.93	$180.50	$375.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $79.41 / $190.66 / $533.04	Professional		$79.41	$190.66	$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 $99.06 / $153.38 / $399.14	Professional		$99.06	$153.38	$399.14
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,514.00 / $4,661.00	Facility		$408.00	$1,514.00	$4,661.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.80 / $238.26 / $417.68	Professional		$158.80	$238.26	$417.68