Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.72 / $4,396.00 / $10,300.00	Facility		$198.72	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.84 / $198.72 / $200.10	Professional		$175.84	$198.72	$200.10
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 $59.51 / $90.05 / $281.86	Professional		$59.51	$90.05	$281.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.34 / $112.34 / $112.34	Facility		$112.34	$112.34	$112.34
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $24.82 / $200.00	Professional		$18.23	$24.82	$200.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $219.60 / $219.60 / $219.60	Facility		$219.60	$219.60	$219.60
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 $281.72 / $334.55 / $554.65	Professional		$281.72	$334.55	$554.65