Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.66 / $1,508.00 / $4,396.00	Facility		$202.66	$1,508.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.68 / $187.09 / $766.11	Professional		$131.68	$187.09	$766.11
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 $124.06 / $178.86 / $308.44	Professional		$124.06	$178.86	$308.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.60 / $170.50 / $182.33	Facility		$130.60	$170.50	$182.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.44 / $203.32 / $324.25	Professional		$131.44	$203.32	$324.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $107.84 / $179.18 / $284.77	Professional		$107.84	$179.18	$284.77
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $135.22 / $256.64 / $256.64	Facility		$135.22	$256.64	$256.64
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $126.87 / $185.60 / $202.83	Professional		$126.87	$185.60	$202.83
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 $166.00 / $215.22 / $348.71	Professional		$166.00	$215.22	$348.71