Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.00 / $1,713.00 / $4,473.00	Facility		$911.00	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.15 / $170.26 / $293.24	Professional		$162.15	$170.26	$293.24
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 $151.47 / $183.50 / $263.70	Professional		$151.47	$183.50	$263.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.59 / $219.59 / $219.59	Facility		$219.59	$219.59	$219.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.91 / $178.47 / $260.31	Professional		$132.91	$178.47	$260.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $186.07 / $291.62	Professional		$2.12	$186.07	$291.62
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $224.32 / $429.15 / $429.15	Facility		$224.32	$429.15	$429.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $150.38 / $336.48	Professional		$1.44	$150.38	$336.48
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 $152.38 / $184.91 / $270.83	Professional		$152.38	$184.91	$270.83