Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.39 / $1,706.00 / $4,473.00	Facility		$301.39	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.51 / $262.27 / $468.61	Professional		$127.51	$262.27	$468.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.36 / $145.15 / $211.10	Professional		$124.36	$145.15	$211.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.03 / $212.03 / $212.03	Facility		$212.03	$212.03	$212.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.43 / $199.12 / $381.20	Professional		$110.43	$199.12	$381.20
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $99.40 / $220.66 / $420.68	Professional		$99.40	$220.66	$420.68
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $222.57 / $562.80 / $562.80	Facility		$222.57	$562.80	$562.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $110.44 / $119.27 / $333.86	Professional		$110.44	$119.27	$333.86
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 $184.12 / $268.25 / $442.24	Professional		$184.12	$268.25	$442.24