Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.46 / $1,639.00 / $4,396.00	Facility		$250.46	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.06 / $220.27 / $402.14	Professional		$127.06	$220.27	$402.14
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 $120.97 / $202.97 / $367.71	Professional		$120.97	$202.97	$367.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.25 / $227.48 / $243.26	Facility		$174.25	$227.48	$243.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.71 / $222.97 / $387.08	Professional		$128.71	$222.97	$387.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $218.57 / $374.21	Professional		$56.00	$218.57	$374.21
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $207.50 / $441.55 / $441.55	Facility		$207.50	$441.55	$441.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $130.88 / $196.32 / $311.25	Professional		$130.88	$196.32	$311.25
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,277.00 / $1,998.00	Facility		$200.00	$1,277.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.33 / $257.26 / $440.06	Professional		$196.33	$257.26	$440.06