Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.70 / $1,706.00 / $4,473.00	Facility		$200.70	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.19 / $191.20 / $982.06	Professional		$179.19	$191.20	$982.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.81 / $216.80 / $313.79	Professional		$198.81	$216.80	$313.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.90 / $124.90 / $124.90	Facility		$124.90	$124.90	$124.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.19 / $230.01 / $337.21	Professional		$154.19	$230.01	$337.21
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $210.99 / $335.45	Professional		$1.59	$210.99	$335.45
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 $1.08 / $198.69 / $316.58	Professional		$1.08	$198.69	$316.58
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 $154.63 / $201.02 / $335.17	Professional		$154.63	$201.02	$335.17