Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.59 / $4,396.00 / $10,300.00	Facility		$214.59	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.63 / $214.59 / $324.17	Professional		$91.63	$214.59	$324.17
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 $196.08 / $241.11 / $376.74	Professional		$196.08	$241.11	$376.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $502.86 / $502.86 / $502.86	Facility		$502.86	$502.86	$502.86
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $133.87 / $493.00 / $634.89	Professional		$133.87	$493.00	$634.89
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $983.93 / $983.93 / $983.93	Facility		$983.93	$983.93	$983.93
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 $177.96 / $240.70 / $366.47	Professional		$177.96	$240.70	$366.47