Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.53 / $1,639.00 / $4,473.00	Facility		$191.53	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.48 / $142.00 / $393.48	Professional		$78.48	$142.00	$393.48
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 $83.82 / $141.44 / $226.80	Professional		$83.82	$141.44	$226.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.64 / $89.64 / $89.64	Facility		$89.64	$89.64	$89.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.38 / $125.51 / $229.52	Professional		$73.38	$125.51	$229.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $114.50 / $250.70	Professional		$54.00	$114.50	$250.70
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $77.67 / $172.92 / $172.92	Facility		$77.67	$172.92	$172.92
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $66.42 / $72.56 / $142.44	Professional		$66.42	$72.56	$142.44
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 $139.30 / $182.21 / $263.77	Professional		$139.30	$182.21	$263.77