Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.42 / $3,959.00 / $10,300.00	Facility		$167.42	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.38 / $255.33 / $834.00	Professional		$147.38	$255.33	$834.00
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 $140.47 / $170.47 / $270.39	Professional		$140.47	$170.47	$270.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.96 / $149.96 / $149.96	Facility		$149.96	$149.96	$149.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $259.49 / $420.87	Professional		$150.00	$259.49	$420.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $212.88 / $444.36	Professional		$2.82	$212.88	$444.36
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $293.51 / $293.51 / $293.51	Facility		$293.51	$293.51	$293.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.92 / $226.47 / $472.73	Professional		$1.92	$226.47	$472.73
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 $220.29 / $298.89 / $479.84	Professional		$220.29	$298.89	$479.84