Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.77 / $1,706.00 / $4,473.00	Facility		$391.77	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.37 / $371.28 / $777.83	Professional		$139.37	$371.28	$777.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,931.00 / $5,258.00	Facility		$3,072.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.51 / $180.88 / $282.41	Professional		$148.51	$180.88	$282.41
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $209.47 / $286.42 / $576.11	Professional	50	$209.47	$286.42	$576.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $973.17 / $973.17 / $973.17	Facility		$973.17	$973.17	$973.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.81 / $356.87 / $628.72	Professional		$151.81	$356.87	$628.72
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $132.09 / $410.59 / $1,040.11	Professional		$132.09	$410.59	$1,040.11
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,158.16 / $2,158.16 / $2,158.16	Facility		$2,158.16	$2,158.16	$2,158.16
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $132.09 / $369.53 / $1,485.89	Professional		$132.09	$369.53	$1,485.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,947.00 / $7,221.00	Facility		$1,282.00	$2,947.00	$7,221.00
United Facility/Professional Professional Modifier Low / Median / High Price $370.24 / $529.67 / $763.63	Professional		$370.24	$529.67	$763.63