Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.27 / $1,284.90 / $4,396.00	Facility		$388.27	$1,284.90	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.08 / $135.61 / $597.00	Professional		$95.08	$135.61	$597.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.09 / $176.22 / $284.25	Professional		$109.09	$176.22	$284.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.44 / $114.44 / $114.44	Facility		$114.44	$114.44	$114.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $137.47 / $260.63	Professional		$80.00	$137.47	$260.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $82.93 / $148.37 / $285.70	Professional		$82.93	$148.37	$285.70
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $116.65 / $222.33 / $222.33	Facility		$116.65	$222.33	$222.33
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $98.91 / $106.18 / $177.67	Professional		$98.91	$106.18	$177.67
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 $129.63 / $174.33 / $303.61	Professional		$129.63	$174.33	$303.61