Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.43 / $1,706.00 / $4,473.00	Facility		$260.43	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.99 / $218.82 / $1,392.36	Professional		$104.99	$218.82	$1,392.36
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 $116.19 / $212.42 / $237.32	Professional		$116.19	$212.42	$237.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.02 / $226.25 / $438.62	Professional		$129.02	$226.25	$438.62
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $75.75 / $170.52 / $372.95	Professional		$75.75	$170.52	$372.95
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $873.16 / $873.16 / $873.16	Facility		$873.16	$873.16	$873.16
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $151.50 / $365.64	Professional		$1.80	$151.50	$365.64
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 $240.80 / $305.80 / $501.16	Professional		$240.80	$305.80	$501.16