Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.13 / $1,706.00 / $4,473.00	Facility		$158.13	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.48 / $153.36 / $246.63	Professional		$94.48	$153.36	$246.63
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 $97.67 / $141.37 / $222.37	Professional		$97.67	$141.37	$222.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.34 / $112.34 / $112.34	Facility		$112.34	$112.34	$112.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.73 / $143.58 / $225.00	Professional		$93.73	$143.58	$225.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $88.38 / $136.99 / $243.50	Professional		$88.38	$136.99	$243.50
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 $88.38 / $132.57 / $168.26	Professional		$88.38	$132.57	$168.26
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 $129.96 / $167.40 / $292.95	Professional		$129.96	$167.40	$292.95