Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.83 / $1,706.00 / $4,473.00	Facility		$247.83	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.83 / $180.08 / $335.25	Professional		$144.83	$180.08	$335.25
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 $150.90 / $181.56 / $217.13	Professional		$150.90	$181.56	$217.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.88 / $123.88 / $123.88	Facility		$123.88	$123.88	$123.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.53 / $222.88 / $377.50	Professional		$140.53	$222.88	$377.50
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $119.56 / $201.07 / $332.10	Professional		$119.56	$201.07	$332.10
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 $137.66 / $195.81 / $206.51	Professional		$137.66	$195.81	$206.51
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $1,998.00	Facility		$200.00	$1,427.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $170.43 / $209.23 / $360.36	Professional		$170.43	$209.23	$360.36