Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.11 / $639.77 / $4,730.00	Facility		$213.11	$639.77	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.79 / $187.69 / $362.20	Professional		$122.79	$187.69	$362.20
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 $132.66 / $203.42 / $307.94	Professional		$132.66	$203.42	$307.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $162.00 / $162.00	Facility		$162.00	$162.00	$162.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.56 / $178.68 / $312.95	Professional		$111.56	$178.68	$312.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $200.00 / $330.27	Professional		$90.00	$200.00	$330.27
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $172.45 / $777.59 / $777.59	Facility		$172.45	$777.59	$777.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $115.08 / $117.41 / $258.68	Professional		$115.08	$117.41	$258.68
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 $172.84 / $232.43 / $363.55	Professional		$172.84	$232.43	$363.55