Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.48 / $3,959.00 / $10,300.00	Facility		$109.48	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.72 / $146.44 / $265.44	Professional		$104.72	$146.44	$265.44
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 $92.95 / $133.44 / $219.94	Professional		$92.95	$133.44	$219.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.21 / $91.21 / $91.21	Facility		$91.21	$91.21	$91.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.13 / $148.75 / $261.00	Professional		$98.13	$148.75	$261.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $93.93 / $141.83 / $258.97	Professional		$93.93	$141.83	$258.97
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 $93.93 / $140.90 / $159.84	Professional		$93.93	$140.90	$159.84
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,925.00 / $4,715.00	Facility		$408.00	$1,925.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $167.98 / $286.02	Professional		$144.00	$167.98	$286.02