Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.50 / $1,640.00 / $4,396.00	Facility		$490.50	$1,640.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $132.21 / $226.87	Professional		$78.98	$132.21	$226.87
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 $85.26 / $121.68 / $147.66	Professional		$85.26	$121.68	$147.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $502.86 / $502.86 / $502.86	Facility		$502.86	$502.86	$502.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.94 / $145.06 / $227.67	Professional		$84.94	$145.06	$227.67
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.04 / $129.72 / $498.75	Professional		$1.04	$129.72	$498.75
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $983.93 / $983.93 / $983.93	Facility		$983.93	$983.93	$983.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $110.00 / $760.46	Professional		$0.78	$110.00	$760.46
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 $139.19 / $184.69 / $282.98	Professional		$139.19	$184.69	$282.98