Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.21 / $3,959.00 / $10,300.00	Facility		$189.21	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.38 / $275.47 / $941.12	Professional		$165.38	$275.47	$941.12
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 $154.72 / $187.77 / $293.36	Professional		$154.72	$187.77	$293.36
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 $165.51 / $285.26 / $454.08	Professional		$165.51	$285.26	$454.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $238.26 / $482.76	Professional		$3.44	$238.26	$482.76
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 $2.34 / $240.62 / $502.88	Professional		$2.34	$240.62	$502.88
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 $217.15 / $303.58 / $517.79	Professional		$217.15	$303.58	$517.79