Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.83 / $1,639.00 / $4,473.00	Facility		$299.83	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.51 / $197.53 / $398.10	Professional		$73.51	$197.53	$398.10
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 $70.53 / $176.44 / $431.92	Professional		$70.53	$176.44	$431.92
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 $80.37 / $190.41 / $408.63	Professional		$80.37	$190.41	$408.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $64.78 / $215.08 / $1,495.83	Professional		$64.78	$215.08	$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 $74.90 / $112.35 / $457.89	Professional		$74.90	$112.35	$457.89
United Facility/Professional Facility Modifier Low / Median / High Price $888.00 / $2,331.00 / $7,138.00	Facility		$888.00	$2,331.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.22 / $278.88 / $487.38	Professional		$197.22	$278.88	$487.38