Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.00 / $3,959.00 / $10,300.00	Facility		$174.00	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.99 / $267.93 / $870.45	Professional		$153.99	$267.93	$870.45
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 $157.27 / $186.54 / $290.91	Professional		$157.27	$186.54	$290.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.60 / $280.00 / $444.00	Professional		$156.60	$280.00	$444.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $213.30 / $477.88	Professional		$1.94	$213.30	$477.88
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $174.39 / $174.39 / $174.39	Facility		$174.39	$174.39	$174.39
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $164.04 / $497.79	Professional		$1.32	$164.04	$497.79
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 $227.02 / $295.13 / $494.63	Professional		$227.02	$295.13	$494.63