Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.07 / $1,706.00 / $4,473.00	Facility		$130.07	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.17 / $109.64 / $205.45	Professional		$77.17	$109.64	$205.45
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 $94.38 / $133.71 / $191.55	Professional		$94.38	$133.71	$191.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.08 / $69.08 / $69.08	Facility		$69.08	$69.08	$69.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.44 / $115.69 / $187.69	Professional		$80.44	$115.69	$187.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $66.59 / $116.92 / $200.00	Professional		$66.59	$116.92	$200.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $73.61 / $222.33 / $222.33	Facility		$73.61	$222.33	$222.33
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $80.63 / $120.74	Professional		$74.00	$80.63	$120.74
United Facility/Professional Facility Modifier Low / Median / High Price $78.56 / $1,277.00 / $1,998.00	Facility		$78.56	$1,277.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $110.52 / $137.56 / $209.23	Professional		$110.52	$137.56	$209.23