Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.97 / $2,173.00 / $4,841.00	Facility		$234.97	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.65 / $223.79 / $688.19	Professional		$138.65	$223.79	$688.19
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 $147.06 / $223.67 / $319.52	Professional		$147.06	$223.67	$319.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.89 / $109.89 / $109.89	Facility		$109.89	$109.89	$109.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.93 / $201.05 / $335.46	Professional		$121.93	$201.05	$335.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $190.00 / $330.57	Professional		$99.00	$190.00	$330.57
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $114.58 / $214.56 / $214.56	Facility		$114.58	$214.56	$214.56
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $114.93 / $128.84 / $201.30	Professional		$114.93	$128.84	$201.30
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 $209.09 / $253.68 / $368.43	Professional		$209.09	$253.68	$368.43