Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $880.50 / $2,173.00 / $4,730.00	Facility		$880.50	$2,173.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $132.84 / $244.72	Professional		$71.70	$132.84	$244.72
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 $87.95 / $129.10 / $216.36	Professional		$87.95	$129.10	$216.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.20 / $107.20 / $107.20	Facility		$107.20	$107.20	$107.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.35 / $140.16 / $228.92	Professional		$92.35	$140.16	$228.92
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $97.96 / $147.91 / $239.30	Professional		$97.96	$147.91	$239.30
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $777.59 / $777.59 / $777.59	Facility		$777.59	$777.59	$777.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $97.96 / $146.94 / $166.67	Professional		$97.96	$146.94	$166.67
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,917.00 / $4,661.00	Facility		$408.00	$1,917.00	$4,661.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.16 / $163.85 / $286.02	Professional		$134.16	$163.85	$286.02