Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.73 / $1,639.00 / $4,473.00	Facility		$185.73	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.93 / $153.47 / $250.65	Professional		$103.93	$153.47	$250.65
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 $97.78 / $150.94 / $276.75	Professional		$97.78	$150.94	$276.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.13 / $156.84 / $167.71	Facility		$120.13	$156.84	$167.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.15 / $168.24 / $278.60	Professional		$103.15	$168.24	$278.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $153.28 / $264.87	Professional		$40.00	$153.28	$264.87
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $132.13 / $562.80 / $562.80	Facility		$132.13	$562.80	$562.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $97.01 / $145.52 / $198.21	Professional		$97.01	$145.52	$198.21
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,277.00 / $1,998.00	Facility		$200.00	$1,277.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $141.13 / $188.77 / $326.38	Professional		$141.13	$188.77	$326.38