Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.38 / $2,173.00 / $4,841.00	Facility		$290.38	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.50 / $201.02 / $364.60	Professional		$130.50	$201.02	$364.60
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 $137.44 / $183.87 / $256.75	Professional		$137.44	$183.87	$256.75
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $310.13 / $364.86 / $405.40	Professional	50	$310.13	$364.86	$405.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.16 / $170.16 / $170.16	Facility		$170.16	$170.16	$170.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.83 / $244.02 / $439.23	Professional		$125.83	$244.02	$439.23
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $115.39 / $213.18 / $362.41	Professional		$115.39	$213.18	$362.41
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,578.34 / $2,578.34 / $2,578.34	Facility		$2,578.34	$2,578.34	$2,578.34
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $128.21 / $192.32 / $273.41	Professional		$128.21	$192.32	$273.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,940.00 / $7,138.00	Facility		$1,282.00	$2,940.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $184.14 / $232.05 / $411.05	Professional		$184.14	$232.05	$411.05