Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.72 / $1,706.00 / $4,473.00	Facility		$197.72	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.31 / $177.84 / $261.87	Professional		$119.31	$177.84	$261.87
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 $121.07 / $176.65 / $277.62	Professional		$121.07	$176.65	$277.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.16 / $137.16 / $137.16	Facility		$137.16	$137.16	$137.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.26 / $180.18 / $299.00	Professional		$117.26	$180.18	$299.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $108.20 / $167.71 / $303.74	Professional		$108.20	$167.71	$303.74
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 $108.20 / $162.30 / $206.10	Professional		$108.20	$162.30	$206.10
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 $164.16 / $210.24 / $367.92	Professional		$164.16	$210.24	$367.92