Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.67 / $2,173.00 / $4,841.00	Facility		$490.67	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.79 / $397.40 / $866.47	Professional		$166.79	$397.40	$866.47
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 $165.35 / $347.60 / $583.63	Professional		$165.35	$347.60	$583.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $332.41 / $332.41 / $332.41	Facility		$332.41	$332.41	$332.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.24 / $318.41 / $632.63	Professional		$137.24	$318.41	$632.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $324.36 / $581.14	Professional		$130.69	$324.36	$581.14
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $324.36 / $737.67 / $737.67	Facility		$324.36	$737.67	$737.67
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $145.21 / $157.87 / $486.54	Professional		$145.21	$157.87	$486.54
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,917.00 / $4,661.00	Facility		$408.00	$1,917.00	$4,661.00
United Facility/Professional Professional Modifier Low / Median / High Price $369.71 / $535.60 / $737.38	Professional		$369.71	$535.60	$737.38