Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.24 / $1,706.00 / $4,473.00	Facility		$214.24	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.96 / $195.40 / $372.89	Professional		$119.96	$195.40	$372.89
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 $108.61 / $162.32 / $298.91	Professional		$108.61	$162.32	$298.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.03 / $147.03 / $147.03	Facility		$147.03	$147.03	$147.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.10 / $184.61 / $365.67	Professional		$115.10	$184.61	$365.67
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $113.99 / $183.52 / $349.84	Professional		$113.99	$183.52	$349.84
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $676.51 / $676.51 / $676.51	Facility		$676.51	$676.51	$676.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $113.99 / $170.99 / $250.26	Professional		$113.99	$170.99	$250.26
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 $185.63 / $219.42 / $383.03	Professional		$185.63	$219.42	$383.03