Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.89 / $946.20 / $3,371.00	Facility		$413.89	$946.20	$3,371.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $109.12 / $454.00	Professional		$76.14	$109.12	$454.00
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 $90.21 / $104.21 / $152.49	Professional		$90.21	$104.21	$152.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.26 / $61.26 / $61.26	Facility		$61.26	$61.26	$61.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $129.69 / $197.00	Professional		$80.29	$129.69	$197.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $104.22 / $174.05	Professional		$2.29	$104.22	$174.05
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $265.11 / $265.11 / $265.11	Facility		$265.11	$265.11	$265.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.56 / $96.74 / $156.33	Professional		$1.56	$96.74	$156.33
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 $95.92 / $133.61 / $191.53	Professional		$95.92	$133.61	$191.53