Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.83 / $1,639.00 / $4,473.00	Facility		$224.83	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $190.43 / $302.70	Professional		$94.02	$190.43	$302.70
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 $94.67 / $184.54 / $354.81	Professional		$94.67	$184.54	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.36 / $192.38 / $205.73	Facility		$147.36	$192.38	$205.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.20 / $197.81 / $348.10	Professional		$98.20	$197.81	$348.10
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $72.41 / $163.49 / $311.45	Professional		$72.41	$163.49	$311.45
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $158.08 / $1,036.17 / $1,036.17	Facility		$158.08	$1,036.17	$1,036.17
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $120.68 / $237.12	Professional		$80.45	$120.68	$237.12
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,317.00	Facility		$721.00	$2,200.00	$6,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.56 / $254.94 / $401.27	Professional		$194.56	$254.94	$401.27