Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.35 / $1,706.00 / $4,473.00	Facility		$219.35	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.80 / $136.02 / $283.54	Professional		$88.80	$136.02	$283.54
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 $96.27 / $138.49 / $260.06	Professional		$96.27	$138.49	$260.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.57 / $108.57 / $108.57	Facility		$108.57	$108.57	$108.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.81 / $133.63 / $236.22	Professional		$72.81	$133.63	$236.22
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $125.01 / $272.83	Professional		$68.45	$125.01	$272.83
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $119.87 / $737.67 / $737.67	Facility		$119.87	$737.67	$737.67
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $83.09 / $179.81	Professional		$76.06	$83.09	$179.81
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 $122.38 / $173.02 / $592.00	Professional		$122.38	$173.02	$592.00