Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.51 / $1,706.00 / $4,473.00	Facility		$106.51	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $86.26 / $280.57	Professional		$53.70	$86.26	$280.57
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 $58.37 / $89.25 / $126.00	Professional		$58.37	$89.25	$126.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.06 / $81.54 / $132.03	Professional		$44.06	$81.54	$132.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.47 / $79.54 / $150.09	Professional		$0.47	$79.54	$150.09
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $142.46 / $142.46 / $142.46	Facility		$142.46	$142.46	$142.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $47.11 / $51.10 / $83.12	Professional		$47.11	$51.10	$83.12
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 $83.16 / $103.95 / $145.54	Professional		$83.16	$103.95	$145.54