Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.40 / $2,240.00 / $10,300.00	Facility		$195.40	$2,240.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.31 / $216.82 / $528.88	Professional		$117.31	$216.82	$528.88
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 $110.34 / $242.24 / $482.83	Professional		$110.34	$242.24	$482.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.17 / $327.90 / $350.65	Facility		$251.17	$327.90	$350.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.40 / $234.63 / $485.55	Professional		$115.40	$234.63	$485.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $278.42 / $512.77	Professional		$56.00	$278.42	$512.77
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $307.05 / $1,007.60 / $1,007.60	Facility		$307.05	$1,007.60	$1,007.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $179.45 / $290.02 / $460.58	Professional		$179.45	$290.02	$460.58
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 $177.64 / $298.91 / $529.49	Professional		$177.64	$298.91	$529.49