Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.78 / $2,173.00 / $4,841.00	Facility		$132.78	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.31 / $107.86 / $201.25	Professional		$75.31	$107.86	$201.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,931.00 / $5,258.00	Facility		$3,072.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.05 / $119.32 / $192.52	Professional		$89.05	$119.32	$192.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,341.64 / $2,341.64 / $2,341.64	Facility		$2,341.64	$2,341.64	$2,341.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.16 / $107.58 / $173.87	Professional		$69.16	$107.58	$173.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $60.68 / $113.83 / $2,397.01	Professional		$60.68	$113.83	$2,397.01
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,397.01 / $5,455.67 / $5,455.67	Facility		$2,397.01	$5,455.67	$5,455.67
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $67.42 / $75.40 / $177.36	Professional		$67.42	$75.40	$177.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,940.00 / $7,138.00	Facility		$1,282.00	$2,940.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.91 / $126.80 / $210.08	Professional		$93.91	$126.80	$210.08