Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.80 / $3,959.00 / $10,300.00	Facility		$149.80	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.37 / $239.61 / $744.86	Professional		$132.37	$239.61	$744.86
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 $135.83 / $160.49 / $249.99	Professional		$135.83	$160.49	$249.99
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 $135.91 / $248.95 / $397.15	Professional		$135.91	$248.95	$397.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $197.21 / $420.34	Professional		$1.59	$197.21	$420.34
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 $1.08 / $205.43 / $447.17	Professional		$1.08	$205.43	$447.17
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 $205.73 / $270.99 / $443.39	Professional		$205.73	$270.99	$443.39