Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.47 / $1,996.00 / $4,473.00	Facility		$211.47	$1,996.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.01 / $134.85 / $544.00	Professional		$70.01	$134.85	$544.00
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 $74.67 / $126.12 / $194.04	Professional		$74.67	$126.12	$194.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.25 / $93.25 / $93.25	Facility		$93.25	$93.25	$93.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.52 / $108.74 / $189.98	Professional		$64.52	$108.74	$189.98
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $57.40 / $111.11 / $200.06	Professional		$57.40	$111.11	$200.06
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $96.75 / $214.56 / $214.56	Facility		$96.75	$214.56	$214.56
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $60.42 / $66.84 / $145.13	Professional		$60.42	$66.84	$145.13
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 $113.80 / $140.61 / $217.79	Professional		$113.80	$140.61	$217.79