Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.60 / $4,396.00 / $10,300.00	Facility		$179.60	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.89 / $179.60 / $193.56	Professional		$177.89	$179.60	$193.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $5,123.00 / $8,613.28	Facility		$3,671.00	$5,123.00	$8,613.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.79 / $199.54 / $261.12	Professional		$164.79	$199.54	$261.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.22 / $173.37 / $256.57	Professional		$134.22	$173.37	$256.57
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $146.99 / $181.58 / $237.83	Professional		$146.99	$181.58	$237.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $135.90 / $135.90 / $203.85	Professional		$135.90	$135.90	$203.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,061.00 / $2,606.00 / $6,471.00	Facility		$1,061.00	$2,606.00	$6,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $166.60 / $225.48 / $315.47	Professional		$166.60	$225.48	$315.47