Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.63 / $1,706.00 / $4,473.00	Facility		$141.63	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.93 / $137.54 / $226.80	Professional		$84.93	$137.54	$226.80
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 $87.11 / $128.36 / $199.27	Professional		$87.11	$128.36	$199.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.76 / $101.76 / $101.76	Facility		$101.76	$101.76	$101.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.74 / $132.84 / $220.71	Professional		$84.74	$132.84	$220.71
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $80.47 / $124.73 / $220.97	Professional		$80.47	$124.73	$220.97
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $219.60 / $219.60 / $219.60	Facility		$219.60	$219.60	$219.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $80.47 / $120.71 / $154.05	Professional		$80.47	$120.71	$154.05
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 $115.30 / $152.30 / $959.00	Professional		$115.30	$152.30	$959.00