Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.57 / $1,706.00 / $4,473.00	Facility		$196.57	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.51 / $189.32 / $314.12	Professional		$125.51	$189.32	$314.12
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 $127.37 / $178.78 / $276.24	Professional		$127.37	$178.78	$276.24
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 $122.88 / $179.63 / $301.00	Professional		$122.88	$179.63	$301.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $109.35 / $172.61 / $301.12	Professional		$109.35	$172.61	$301.12
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 $112.82 / $169.23 / $198.84	Professional		$112.82	$169.23	$198.84
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 $161.30 / $210.04 / $366.66	Professional		$161.30	$210.04	$366.66