Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.79 / $1,706.00 / $4,473.00	Facility		$298.79	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.93 / $251.08 / $585.85	Professional		$188.93	$251.08	$585.85
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 $195.63 / $217.11 / $279.79	Professional		$195.63	$217.11	$279.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.35 / $130.35 / $130.35	Facility		$130.35	$130.35	$130.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.06 / $268.58 / $416.61	Professional		$202.06	$268.58	$416.61
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $128.07 / $248.35 / $392.39	Professional		$128.07	$248.35	$392.39
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $330.37 / $330.37 / $330.37	Facility		$330.37	$330.37	$330.37
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $187.84 / $213.45 / $281.76	Professional		$187.84	$213.45	$281.76
United Facility/Professional Facility Modifier Low / Median / High Price $134.72 / $1,277.00 / $1,998.00	Facility		$134.72	$1,277.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.46 / $251.83 / $435.96	Professional		$196.46	$251.83	$435.96