Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.77 / $3,959.00 / $10,300.00	Facility		$112.77	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.77 / $147.37 / $736.00	Professional		$112.77	$147.37	$736.00
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 $105.21 / $150.87 / $232.51	Professional		$105.21	$150.87	$232.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.05 / $144.75 / $221.06	Professional		$94.05	$144.75	$221.06
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $147.80 / $239.36	Professional		$1.17	$147.80	$239.36
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $219.60 / $219.60 / $219.60	Facility		$219.60	$219.60	$219.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $98.53 / $110.52 / $147.80	Professional		$98.53	$110.52	$147.80
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 $137.28 / $166.40 / $243.50	Professional		$137.28	$166.40	$243.50