Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.79 / $1,706.00 / $4,473.00	Facility		$172.79	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.93 / $139.94 / $191.16	Professional		$80.93	$139.94	$191.16
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 $87.93 / $135.16 / $214.45	Professional		$87.93	$135.16	$214.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $332.41 / $332.41 / $332.41	Facility		$332.41	$332.41	$332.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.11 / $125.91 / $234.67	Professional		$73.11	$125.91	$234.67
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $126.39 / $350.00	Professional		$65.00	$126.39	$350.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $324.36 / $737.67 / $737.67	Facility		$324.36	$737.67	$737.67
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $72.22 / $76.81 / $210.14	Professional		$72.22	$76.81	$210.14
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,917.00 / $4,661.00	Facility		$408.00	$1,917.00	$4,661.00
United Facility/Professional Professional Modifier Low / Median / High Price $135.72 / $195.22 / $256.36	Professional		$135.72	$195.22	$256.36