Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.70 / $980.00 / $1,586.00	Facility		$273.70	$980.00	$1,586.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.24 / $241.06 / $273.70	Professional		$195.24	$241.06	$273.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $710.00 / $710.00 / $3,399.00	Facility		$710.00	$710.00	$3,399.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.85 / $327.14 / $407.05	Professional		$216.85	$327.14	$407.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.75 / $141.80 / $472.90	Facility		$101.75	$141.80	$472.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.00 / $303.00 / $335.00	Professional		$215.00	$303.00	$335.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $350.00 / $350.00	Professional		$350.00	$350.00	$350.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $196.74 / $196.74 / $196.74	Facility		$196.74	$196.74	$196.74
United Facility/Professional Facility Modifier Low / Median / High Price $94.49 / $100.53 / $107.76	Facility		$94.49	$100.53	$107.76
United Facility/Professional Professional Modifier Low / Median / High Price $138.61 / $181.96 / $331.93	Professional		$138.61	$181.96	$331.93