Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.76 / $1,706.00 / $4,473.00	Facility		$199.76	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.40 / $193.90 / $343.76	Professional		$129.40	$193.90	$343.76
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 $127.35 / $180.25 / $280.77	Professional		$127.35	$180.25	$280.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.44 / $135.44 / $135.44	Facility		$135.44	$135.44	$135.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.49 / $182.70 / $304.00	Professional		$123.49	$182.70	$304.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $113.15 / $173.12 / $306.67	Professional		$113.15	$173.12	$306.67
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 $113.15 / $169.73 / $202.95	Professional		$113.15	$169.73	$202.95
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 $166.14 / $208.07 / $372.96	Professional		$166.14	$208.07	$372.96