Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.24 / $1,639.00 / $4,396.00	Facility		$224.24	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.57 / $259.63 / $751.53	Professional		$133.57	$259.63	$751.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,214.00 / $3,931.00 / $5,258.00	Facility		$3,214.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.76 / $214.45 / $368.62	Professional		$141.76	$214.45	$368.62
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 $133.36 / $213.72 / $394.94	Professional		$133.36	$213.72	$394.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $122.75 / $206.35 / $754.36	Professional		$122.75	$206.35	$754.36
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 $111.59 / $167.39 / $1,028.67	Professional		$111.59	$167.39	$1,028.67
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,317.00	Facility		$721.00	$2,200.00	$6,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.42 / $237.95 / $379.51	Professional		$180.42	$237.95	$379.51