Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.16 / $3,959.00 / $10,300.00	Facility		$98.16	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.48 / $130.86 / $237.49	Professional		$93.48	$130.86	$237.49
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 $100.44 / $141.38 / $205.93	Professional		$100.44	$141.38	$205.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $349.64 / $349.64 / $349.64	Facility		$349.64	$349.64	$349.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.82 / $131.16 / $211.01	Professional		$87.82	$131.16	$211.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $77.28 / $142.36 / $359.81	Professional		$77.28	$142.36	$359.81
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $359.81 / $683.29 / $683.29	Facility		$359.81	$683.29	$683.29
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $81.34 / $86.20 / $200.25	Professional		$81.34	$86.20	$200.25
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,917.00 / $4,661.00	Facility		$408.00	$1,917.00	$4,661.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.35 / $163.90 / $230.41	Professional		$126.35	$163.90	$230.41