Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.39 / $1,639.00 / $4,473.00	Facility		$197.39	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.29 / $165.68 / $323.89	Professional		$101.29	$165.68	$323.89
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 $106.81 / $165.06 / $289.94	Professional		$106.81	$165.06	$289.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.79 / $177.27 / $189.57	Facility		$135.79	$177.27	$189.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.56 / $171.84 / $312.00	Professional		$104.56	$171.84	$312.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $156.53 / $269.45	Professional		$72.00	$156.53	$269.45
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $142.30 / $562.80 / $562.80	Facility		$142.30	$562.80	$562.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $96.52 / $144.78 / $213.45	Professional		$96.52	$144.78	$213.45
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 $150.00 / $197.47 / $316.07	Professional		$150.00	$197.47	$316.07