Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.87 / $2,173.00 / $4,841.00	Facility		$195.87	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.18 / $189.43 / $344.98	Professional		$115.18	$189.43	$344.98
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 $98.56 / $158.50 / $274.91	Professional		$98.56	$158.50	$274.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.28 / $143.28 / $143.28	Facility		$143.28	$143.28	$143.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.81 / $178.04 / $291.97	Professional		$105.81	$178.04	$291.97
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $109.83 / $173.53 / $304.17	Professional		$109.83	$173.53	$304.17
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 $109.83 / $164.75 / $222.41	Professional		$109.83	$164.75	$222.41
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 $155.32 / $207.72 / $363.52	Professional		$155.32	$207.72	$363.52