Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.89 / $1,639.00 / $4,396.00	Facility		$315.89	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $170.08 / $450.69	Professional		$80.91	$170.08	$450.69
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 $80.59 / $97.81 / $162.68	Professional		$80.59	$97.81	$162.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $391.14 / $391.14 / $391.14	Facility		$391.14	$391.14	$391.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.15 / $172.84 / $295.95	Professional		$89.15	$172.84	$295.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $166.31 / $404.59	Professional		$1.76	$166.31	$404.59
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $765.36 / $765.36 / $765.36	Facility		$765.36	$765.36	$765.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $123.35 / $606.89	Professional		$1.20	$123.35	$606.89
United Facility/Professional Facility Modifier Low / Median / High Price $357.38 / $1,572.00 / $4,715.00	Facility		$357.38	$1,572.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $168.75 / $218.04 / $333.44	Professional		$168.75	$218.04	$333.44