Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.46 / $4,396.00 / $10,300.00	Facility		$116.46	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.88 / $116.46 / $172.65	Professional		$94.88	$116.46	$172.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $226.59 / $3,391.00 / $4,098.00	Facility		$226.59	$3,391.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.16 / $120.53 / $198.75	Professional		$96.16	$120.53	$198.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.64 / $128.10 / $204.00	Professional		$91.64	$128.10	$204.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.92 / $110.96 / $161.82	Professional		$1.92	$110.96	$161.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $92.47 / $138.71	Professional		$1.44	$92.47	$138.71
United Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $2,578.00 / $6,471.00	Facility		$776.00	$2,578.00	$6,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.76 / $119.37 / $197.82	Professional		$95.76	$119.37	$197.82