Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.14 / $1,706.00 / $4,473.00	Facility		$105.14	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $105.14 / $416.15	Professional		$68.20	$105.14	$416.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.83 / $118.80 / $166.27	Professional		$79.83	$118.80	$166.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.41 / $52.41 / $52.41	Facility		$52.41	$52.41	$52.41
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $61.61 / $88.50 / $153.72	Professional		$61.61	$88.50	$153.72
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $219.60 / $219.60 / $219.60	Facility		$219.60	$219.60	$219.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $56.01 / $84.02 / $95.07	Professional		$56.01	$84.02	$95.07
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 $103.02 / $118.17 / $192.92	Professional		$103.02	$118.17	$192.92