Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.28 / $1,706.00 / $4,473.00	Facility		$176.28	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.11 / $163.53 / $460.20	Professional		$90.11	$163.53	$460.20
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 $97.03 / $170.98 / $254.52	Professional		$97.03	$170.98	$254.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.71 / $131.71 / $131.71	Facility		$131.71	$131.71	$131.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.11 / $158.87 / $264.42	Professional		$90.11	$158.87	$264.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $73.58 / $149.22 / $264.64	Professional		$73.58	$149.22	$264.64
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $135.65 / $562.80 / $562.80	Facility		$135.65	$562.80	$562.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $81.76 / $87.65 / $203.48	Professional		$81.76	$87.65	$203.48
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $1,998.00	Facility		$200.00	$1,427.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.90 / $193.75 / $286.02	Professional		$158.90	$193.75	$286.02