Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.14 / $3,959.00 / $10,300.00	Facility		$180.14	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.61 / $273.52 / $901.68	Professional		$159.61	$273.52	$901.68
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 $151.32 / $183.63 / $279.41	Professional		$151.32	$183.63	$279.41
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 $142.13 / $267.06 / $452.37	Professional		$142.13	$267.06	$452.37
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $216.55 / $475.78	Professional		$2.47	$216.55	$475.78
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 $1.68 / $240.62 / $506.15	Professional		$1.68	$240.62	$506.15
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 $199.20 / $285.95 / $504.87	Professional		$199.20	$285.95	$504.87