Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.06 / $1,639.00 / $4,473.00	Facility		$159.06	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.54 / $142.58 / $219.62	Professional		$101.54	$142.58	$219.62
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 $106.50 / $151.77 / $242.12	Professional		$106.50	$151.77	$242.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.06 / $130.63 / $139.69	Facility		$100.06	$130.63	$139.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.17 / $164.75 / $267.12	Professional		$103.17	$164.75	$267.12
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $76.44 / $149.46 / $238.14	Professional		$76.44	$149.46	$238.14
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $114.97 / $562.80 / $562.80	Facility		$114.97	$562.80	$562.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $101.92 / $143.13 / $172.46	Professional		$101.92	$143.13	$172.46
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,048.00 / $1,975.00	Facility		$200.00	$1,048.00	$1,975.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.56 / $176.21 / $289.14	Professional		$133.56	$176.21	$289.14