Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $580.04 / $1,639.00 / $3,959.00	Facility		$580.04	$1,639.00	$3,959.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.20 / $150.00 / $275.95	Professional		$99.20	$150.00	$275.95
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 $108.56 / $125.46 / $188.94	Professional		$108.56	$125.46	$188.94
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 $106.75 / $176.30 / $282.08	Professional		$106.75	$176.30	$282.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $170.94 / $404.59	Professional		$0.88	$170.94	$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 $0.60 / $151.59 / $606.89	Professional		$0.60	$151.59	$606.89
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 $152.40 / $199.43 / $308.70	Professional		$152.40	$199.43	$308.70