Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.20 / $3,959.00 / $10,300.00	Facility		$100.20	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.84 / $133.00 / $240.27	Professional		$95.84	$133.00	$240.27
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 $80.12 / $115.98 / $192.78	Professional		$80.12	$115.98	$192.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.36 / $82.36 / $82.36	Facility		$82.36	$82.36	$82.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.62 / $136.13 / $228.93	Professional		$86.62	$136.13	$228.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $85.86 / $129.65 / $234.16	Professional		$85.86	$129.65	$234.16
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 $85.86 / $128.79 / $144.06	Professional		$85.86	$128.79	$144.06
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 $122.17 / $149.05 / $260.19	Professional		$122.17	$149.05	$260.19