Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.85 / $3,959.00 / $10,300.00	Facility		$91.85	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.60 / $132.88 / $195.62	Professional		$84.60	$132.88	$195.62
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 $79.59 / $124.97 / $245.92	Professional		$79.59	$124.97	$245.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.13 / $120.13 / $120.13	Facility		$120.13	$120.13	$120.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.26 / $142.21 / $238.14	Professional		$81.26	$142.21	$238.14
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $76.22 / $134.16 / $265.55	Professional		$76.22	$134.16	$265.55
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $441.55 / $441.55 / $441.55	Facility		$441.55	$441.55	$441.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $76.22 / $114.33 / $182.96	Professional		$76.22	$114.33	$182.96
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 $127.08 / $184.45 / $332.01	Professional		$127.08	$184.45	$332.01