Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.48 / $3,959.00 / $10,300.00	Facility		$196.48	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.57 / $294.68 / $977.97	Professional		$172.57	$294.68	$977.97
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 $178.03 / $208.09 / $304.36	Professional		$178.03	$208.09	$304.36
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 $169.02 / $304.54 / $485.74	Professional		$169.02	$304.54	$485.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $230.00 / $493.00	Professional		$2.12	$230.00	$493.00
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 $1.44 / $240.62 / $543.00	Professional		$1.44	$240.62	$543.00
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 $242.56 / $318.44 / $553.15	Professional		$242.56	$318.44	$553.15