Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.44 / $1,639.00 / $4,473.00	Facility		$128.44	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.06 / $108.00 / $172.71	Professional		$65.06	$108.00	$172.71
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 $67.31 / $105.72 / $166.21	Professional		$67.31	$105.72	$166.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.93 / $77.93 / $77.93	Facility		$77.93	$77.93	$77.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.58 / $110.81 / $195.67	Professional		$65.58	$110.81	$195.67
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $53.84 / $89.88 / $179.75	Professional		$53.84	$89.88	$179.75
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 $53.84 / $80.76 / $118.31	Professional		$53.84	$80.76	$118.31
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 $108.01 / $128.82 / $229.97	Professional		$108.01	$128.82	$229.97