Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.54 / $1,639.00 / $4,396.00	Facility		$167.54	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.99 / $130.72 / $283.00	Professional		$63.99	$130.72	$283.00
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 $55.18 / $112.30 / $224.18	Professional		$55.18	$112.30	$224.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.80 / $133.57 / $233.74	Professional		$74.80	$133.57	$233.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $59.94 / $135.74 / $245.54	Professional		$59.94	$135.74	$245.54
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 $0.54 / $90.71 / $159.29	Professional		$0.54	$90.71	$159.29
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 $103.25 / $168.00 / $302.39	Professional		$103.25	$168.00	$302.39