Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.81 / $1,639.00 / $4,396.00	Facility		$122.81	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.75 / $108.73 / $194.14	Professional		$75.75	$108.73	$194.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.00 / $333.00 / $333.00	Facility		$333.00	$333.00	$333.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.30 / $101.06 / $171.46	Professional		$69.30	$101.06	$171.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.13 / $114.00 / $190.91	Professional		$72.13	$114.00	$190.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $63.32 / $111.31 / $192.01	Professional		$63.32	$111.31	$192.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.90 / $66.65 / $190.74	Professional		$0.90	$66.65	$190.74
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $3,390.00	Facility		$200.00	$1,427.00	$3,390.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.96 / $134.65 / $235.63	Professional		$102.96	$134.65	$235.63