Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.98 / $2,173.00 / $4,841.00	Facility		$198.98	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.76 / $190.33 / $722.35	Professional		$119.76	$190.33	$722.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.00 / $446.00 / $446.00	Facility		$446.00	$446.00	$446.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.93 / $173.32 / $278.05	Professional		$116.93	$173.32	$278.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.10 / $188.00 / $335.64	Professional		$120.10	$188.00	$335.64
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $105.37 / $185.28 / $310.86	Professional		$105.37	$185.28	$310.86
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $110.92 / $308.81	Professional		$3.60	$110.92	$308.81
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,277.00 / $1,975.00	Facility		$200.00	$1,277.00	$1,975.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.56 / $216.18 / $377.38	Professional		$180.56	$216.18	$377.38