Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.91 / $1,639.00 / $4,473.00	Facility		$140.91	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.55 / $125.91 / $604.00	Professional		$90.55	$125.91	$604.00
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 $97.21 / $110.67 / $168.66	Professional		$97.21	$110.67	$168.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.11 / $86.11 / $86.11	Facility		$86.11	$86.11	$86.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.15 / $151.79 / $218.41	Professional		$96.15	$151.79	$218.41
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.97 / $127.06 / $212.56	Professional		$0.97	$127.06	$212.56
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 $0.66 / $134.49 / $221.42	Professional		$0.66	$134.49	$221.42
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 $118.96 / $151.24 / $231.39	Professional		$118.96	$151.24	$231.39