Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.36 / $1,639.00 / $4,396.00	Facility		$652.36	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.59 / $187.01 / $891.00	Professional		$116.59	$187.01	$891.00
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 $103.98 / $147.80 / $212.71	Professional		$103.98	$147.80	$212.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.66 / $129.66 / $129.66	Facility		$129.66	$129.66	$129.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.52 / $175.99 / $285.43	Professional		$101.52	$175.99	$285.43
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $104.00 / $185.76 / $301.10	Professional		$104.00	$185.76	$301.10
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $141.96 / $777.59 / $777.59	Facility		$141.96	$777.59	$777.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $116.35 / $121.81 / $212.94	Professional		$116.35	$121.81	$212.94
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,925.00 / $4,715.00	Facility		$408.00	$1,925.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $168.77 / $218.12 / $326.02	Professional		$168.77	$218.12	$326.02