Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.99 / $1,706.00 / $4,473.00	Facility		$171.99	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.65 / $165.18 / $274.60	Professional		$106.65	$165.18	$274.60
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 $109.88 / $154.40 / $241.76	Professional		$109.88	$154.40	$241.76
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 $105.46 / $156.41 / $261.45	Professional		$105.46	$156.41	$261.45
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $98.62 / $150.88 / $263.52	Professional		$98.62	$150.88	$263.52
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 $98.62 / $147.93 / $174.09	Professional		$98.62	$147.93	$174.09
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 $136.83 / $182.16 / $959.00	Professional		$136.83	$182.16	$959.00