Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.28 / $2,173.00 / $4,841.00	Facility		$218.28	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.14 / $203.40 / $338.37	Professional		$124.14	$203.40	$338.37
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 $132.28 / $202.75 / $304.81	Professional		$132.28	$202.75	$304.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.96 / $127.96 / $127.96	Facility		$127.96	$127.96	$127.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $186.21 / $311.83	Professional		$120.00	$186.21	$311.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $179.50 / $323.73	Professional		$97.44	$179.50	$323.73
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $132.13 / $429.15 / $429.15	Facility		$132.13	$429.15	$429.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $102.57 / $115.51 / $198.21	Professional		$102.57	$115.51	$198.21
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,277.00 / $1,975.00	Facility		$200.00	$1,277.00	$1,975.00
United Facility/Professional Professional Modifier Low / Median / High Price $192.12 / $252.84 / $349.56	Professional		$192.12	$252.84	$349.56