Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.87 / $1,706.00 / $4,730.00	Facility		$136.87	$1,706.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.84 / $113.38 / $217.86	Professional		$79.84	$113.38	$217.86
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 $99.68 / $140.16 / $201.12	Professional		$99.68	$140.16	$201.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.83 / $72.83 / $72.83	Facility		$72.83	$72.83	$72.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.40 / $123.47 / $197.60	Professional		$85.40	$123.47	$197.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $71.41 / $126.74 / $214.90	Professional		$71.41	$126.74	$214.90
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $79.20 / $336.18 / $336.18	Facility		$79.20	$336.18	$336.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $79.51 / $86.30 / $128.35	Professional		$79.51	$86.30	$128.35
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 $106.55 / $142.38 / $220.91	Professional		$106.55	$142.38	$220.91