Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.96 / $1,639.00 / $4,473.00	Facility		$175.96	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.61 / $134.33 / $235.40	Professional		$85.61	$134.33	$235.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,931.00 / $5,258.00	Facility		$3,072.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.32 / $134.06 / $256.20	Professional		$82.32	$134.06	$256.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.65 / $167.95 / $179.60	Facility		$128.65	$167.95	$179.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.09 / $145.61 / $272.74	Professional		$91.09	$145.61	$272.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $139.91 / $243.79	Professional		$66.70	$139.91	$243.79
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $135.65 / $1,790.66 / $1,790.66	Facility		$135.65	$1,790.66	$1,790.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $83.38 / $125.07 / $203.48	Professional		$83.38	$125.07	$203.48
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,514.00 / $4,661.00	Facility		$408.00	$1,514.00	$4,661.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.47 / $175.11 / $289.25	Professional		$128.47	$175.11	$289.25