Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.70 / $1,639.00 / $4,730.00	Facility		$335.70	$1,639.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.72 / $107.25 / $177.70	Professional		$74.72	$107.25	$177.70
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 $79.02 / $90.31 / $129.83	Professional		$79.02	$90.31	$129.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.43 / $53.43 / $53.43	Facility		$53.43	$53.43	$53.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.27 / $110.66 / $171.14	Professional		$73.27	$110.66	$171.14
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $51.95 / $101.96 / $181.52	Professional		$51.95	$101.96	$181.52
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $54.68 / $777.59 / $777.59	Facility		$54.68	$777.59	$777.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $64.53 / $72.30 / $105.61	Professional		$64.53	$72.30	$105.61
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,925.00 / $4,715.00	Facility		$408.00	$1,925.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.30 / $136.08 / $209.99	Professional		$111.30	$136.08	$209.99