Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.04 / $1,639.00 / $4,473.00	Facility		$392.04	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.46 / $232.06 / $608.89	Professional		$104.46	$232.06	$608.89
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 $109.72 / $125.39 / $222.31	Professional		$109.72	$125.39	$222.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.41 / $73.41 / $73.41	Facility		$73.41	$73.41	$73.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.38 / $215.25 / $487.25	Professional		$93.38	$215.25	$487.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $72.95 / $163.85 / $621.90	Professional		$72.95	$163.85	$621.90
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $76.79 / $142.46 / $142.46	Facility		$76.79	$142.46	$142.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $97.05 / $101.37 / $333.29	Professional		$97.05	$101.37	$333.29
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 $226.14 / $358.47 / $588.02	Professional		$226.14	$358.47	$588.02