Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.87 / $1,706.00 / $4,396.00	Facility		$160.87	$1,706.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.97 / $160.87 / $495.11	Professional		$94.97	$160.87	$495.11
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 $96.38 / $160.87 / $264.29	Professional		$96.38	$160.87	$264.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.77 / $157.61 / $289.57	Professional		$98.77	$157.61	$289.57
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $84.36 / $138.13 / $252.36	Professional		$84.36	$138.13	$252.36
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $441.01 / $441.01 / $441.01	Facility		$441.01	$441.01	$441.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $84.36 / $126.54 / $247.41	Professional		$84.36	$126.54	$247.41
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 $129.11 / $169.26 / $271.73	Professional		$129.11	$169.26	$271.73