Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.22 / $1,706.00 / $4,473.00	Facility		$133.22	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.79 / $127.44 / $212.99	Professional		$78.79	$127.44	$212.99
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 $79.31 / $120.21 / $187.50	Professional		$79.31	$120.21	$187.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.67 / $124.26 / $207.35	Professional		$76.67	$124.26	$207.35
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $123.33 / $207.93	Professional		$66.47	$123.33	$207.93
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 $0.96 / $85.06 / $136.49	Professional		$0.96	$85.06	$136.49
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 $111.24 / $142.19 / $261.11	Professional		$111.24	$142.19	$261.11