Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.80 / $1,706.00 / $4,473.00	Facility		$208.80	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.68 / $113.71 / $208.80	Professional		$70.68	$113.71	$208.80
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 $79.59 / $130.44 / $245.01	Professional		$79.59	$130.44	$245.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.97 / $111.97 / $111.97	Facility		$111.97	$111.97	$111.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.80 / $112.46 / $226.18	Professional		$59.80	$112.46	$226.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $112.51 / $262.55	Professional		$54.00	$112.51	$262.55
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $268.79 / $268.79	Facility		$123.03	$268.79	$268.79
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $62.86 / $68.41 / $184.55	Professional		$62.86	$68.41	$184.55
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 $127.92 / $155.22 / $264.43	Professional		$127.92	$155.22	$264.43