Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,639.00 / $4,473.00	Facility		$374.00	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.03 / $138.24 / $507.76	Professional		$84.03	$138.24	$507.76
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 $83.24 / $123.28 / $161.35	Professional		$83.24	$123.28	$161.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.01 / $124.38 / $196.51	Professional		$81.01	$124.38	$196.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.98 / $104.77 / $176.20	Professional		$1.98	$104.77	$176.20
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $441.01 / $441.01 / $441.01	Facility		$441.01	$441.01	$441.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.02 / $69.34 / $105.91	Professional		$1.02	$69.34	$105.91
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 $114.24 / $148.01 / $222.68	Professional		$114.24	$148.01	$222.68