Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.51 / $3,959.00 / $10,300.00	Facility		$88.51	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.51 / $119.31 / $486.00	Professional		$88.51	$119.31	$486.00
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 $86.93 / $119.95 / $182.52	Professional		$86.93	$119.95	$182.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.93 / $77.93 / $77.93	Facility		$77.93	$77.93	$77.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $113.32 / $178.97	Professional		$70.73	$113.32	$178.97
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $117.38 / $192.86	Professional		$63.00	$117.38	$192.86
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $84.48 / $268.79 / $268.79	Facility		$84.48	$268.79	$268.79
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $82.76 / $85.93 / $126.72	Professional		$82.76	$85.93	$126.72
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 $111.27 / $139.27 / $195.57	Professional		$111.27	$139.27	$195.57