Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.93 / $2,150.00 / $4,730.00	Facility		$416.93	$2,150.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.04 / $159.05 / $283.56	Professional		$90.04	$159.05	$283.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.86 / $168.60 / $239.13	Professional		$110.86	$168.60	$239.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.57 / $225.57 / $225.57	Facility		$225.57	$225.57	$225.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.34 / $154.59 / $289.87	Professional		$88.34	$154.59	$289.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $87.46 / $186.57 / $315.33	Professional		$87.46	$186.57	$315.33
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 $87.46 / $131.19 / $313.25	Professional		$87.46	$131.19	$313.25
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 $162.93 / $197.50 / $323.42	Professional		$162.93	$197.50	$323.42