Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.30 / $1,706.00 / $4,473.00	Facility		$174.30	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.17 / $150.62 / $272.79	Professional		$107.17	$150.62	$272.79
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 $126.97 / $177.92 / $252.50	Professional		$126.97	$177.92	$252.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.84 / $89.84 / $89.84	Facility		$89.84	$89.84	$89.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.42 / $155.90 / $250.09	Professional		$107.42	$155.90	$250.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $89.20 / $156.35 / $266.99	Professional		$89.20	$156.35	$266.99
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $96.04 / $336.18 / $336.18	Facility		$96.04	$336.18	$336.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $99.11 / $108.54 / $161.26	Professional		$99.11	$108.54	$161.26
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 $132.53 / $191.94 / $959.00	Professional		$132.53	$191.94	$959.00