Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.20 / $1,639.00 / $4,473.00	Facility		$411.20	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.59 / $392.40 / $706.56	Professional		$143.59	$392.40	$706.56
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 $141.12 / $161.28 / $267.16	Professional		$141.12	$161.28	$267.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.60 / $130.60 / $130.60	Facility		$130.60	$130.60	$130.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.18 / $239.41 / $522.77	Professional		$122.18	$239.41	$522.77
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $105.18 / $204.52 / $640.01	Professional		$105.18	$204.52	$640.01
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $135.22 / $256.64 / $256.64	Facility		$135.22	$256.64	$256.64
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $116.87 / $125.92 / $362.70	Professional		$116.87	$125.92	$362.70
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 $276.48 / $391.56 / $621.41	Professional		$276.48	$391.56	$621.41