Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.47 / $1,639.00 / $4,473.00	Facility		$298.47	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.56 / $252.92 / $406.00	Professional		$184.56	$252.92	$406.00
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 $174.93 / $347.96 / $586.15	Professional		$174.93	$347.96	$586.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.57 / $275.57 / $388.95	Professional		$275.57	$275.57	$388.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $273.70 / $501.66	Professional		$3.60	$273.70	$501.66
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $441.01 / $441.01 / $441.01	Facility		$441.01	$441.01	$441.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $156.40 / $172.64 / $298.47	Professional		$156.40	$172.64	$298.47
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 $442.35 / $578.76 / $934.92	Professional		$442.35	$578.76	$934.92