Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.30 / $1,706.00 / $4,473.00	Facility		$331.30	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.74 / $253.90 / $432.32	Professional		$184.74	$253.90	$432.32
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 $145.53 / $232.55 / $290.69	Professional		$145.53	$232.55	$290.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.59 / $158.59 / $158.59	Facility		$158.59	$158.59	$158.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.96 / $298.89 / $501.13	Professional		$211.96	$298.89	$501.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $150.25 / $268.80 / $472.53	Professional		$150.25	$268.80	$472.53
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $606.29 / $606.29 / $606.29	Facility		$606.29	$606.29	$606.29
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $166.94 / $250.41 / $269.70	Professional		$166.94	$250.41	$269.70
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 $252.30 / $294.98 / $521.37	Professional		$252.30	$294.98	$521.37