Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.47 / $2,173.00 / $4,841.00	Facility		$166.47	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $164.89 / $250.05	Professional		$36.76	$164.89	$250.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $5,484.00 / $9,964.00	Facility		$1,529.00	$5,484.00	$9,964.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $151.47 / $252.25	Professional		$39.86	$151.47	$252.25
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 $29.95 / $140.87 / $244.36	Professional		$29.95	$140.87	$244.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $26.41 / $158.47 / $359.81	Professional		$26.41	$158.47	$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 $29.34 / $44.01 / $221.06	Professional		$29.34	$44.01	$221.06
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,925.00 / $9,500.00	Facility		$408.00	$1,925.00	$9,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $132.53 / $211.75 / $1,493.00	Professional		$132.53	$211.75	$1,493.00