Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.28 / $2,173.00 / $4,841.00	Facility		$330.28	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.33 / $275.02 / $1,269.00	Professional		$149.33	$275.02	$1,269.00
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 $177.39 / $314.24 / $482.32	Professional		$177.39	$314.24	$482.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.48 / $201.48 / $201.48	Facility		$201.48	$201.48	$201.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.68 / $251.69 / $488.67	Professional		$151.68	$251.69	$488.67
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $129.96 / $253.21 / $484.78	Professional		$129.96	$253.21	$484.78
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $211.01 / $3,513.95 / $3,513.95	Facility		$211.01	$3,513.95	$3,513.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $138.97 / $153.11 / $316.52	Professional		$138.97	$153.11	$316.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,940.00 / $7,138.00	Facility		$1,282.00	$2,940.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $290.91 / $373.75 / $566.78	Professional		$290.91	$373.75	$566.78