Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.71 / $1,706.00 / $4,473.00	Facility		$202.71	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.13 / $181.95 / $382.55	Professional		$160.13	$181.95	$382.55
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 $178.91 / $197.62 / $289.22	Professional		$178.91	$197.62	$289.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.29 / $127.29 / $127.29	Facility		$127.29	$127.29	$127.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $233.12 / $334.47	Professional		$156.00	$233.12	$334.47
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $204.12 / $313.14	Professional		$3.09	$204.12	$313.14
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 $2.10 / $191.39 / $297.29	Professional		$2.10	$191.39	$297.29
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 $174.89 / $225.34 / $350.92	Professional		$174.89	$225.34	$350.92