Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.30 / $1,706.00 / $4,473.00	Facility		$158.30	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.73 / $128.21 / $447.00	Professional		$99.73	$128.21	$447.00
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 $108.02 / $139.86 / $204.57	Professional		$108.02	$139.86	$204.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.75 / $52.75 / $52.75	Facility		$52.75	$52.75	$52.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $133.29 / $194.22	Professional		$92.55	$133.29	$194.22
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $55.27 / $125.10 / $210.37	Professional		$55.27	$125.10	$210.37
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $58.18 / $268.79 / $268.79	Facility		$58.18	$268.79	$268.79
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $83.51 / $92.64 / $125.27	Professional		$83.51	$92.64	$125.27
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $1,998.00	Facility		$200.00	$1,427.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.64 / $158.69 / $223.65	Professional		$125.64	$158.69	$223.65