Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.30 / $1,706.00 / $4,473.00	Facility		$265.30	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.25 / $208.31 / $462.22	Professional		$93.25	$208.31	$462.22
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 $102.20 / $132.96 / $187.46	Professional		$102.20	$132.96	$187.46
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 $105.48 / $204.35 / $414.40	Professional		$105.48	$204.35	$414.40
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $168.63 / $506.97	Professional		$1.12	$168.63	$506.97
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 $0.84 / $138.22 / $760.46	Professional		$0.84	$138.22	$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 $216.88 / $299.88 / $466.61	Professional		$216.88	$299.88	$466.61