Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.28 / $1,713.00 / $4,473.00	Facility		$184.28	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.38 / $166.05 / $638.69	Professional		$114.38	$166.05	$638.69
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 $135.69 / $188.58 / $268.17	Professional		$135.69	$188.58	$268.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.94 / $93.94 / $93.94	Facility		$93.94	$93.94	$93.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.45 / $167.34 / $266.02	Professional		$115.45	$167.34	$266.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $95.89 / $168.90 / $284.07	Professional		$95.89	$168.90	$284.07
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $100.94 / $962.32 / $962.32	Facility		$100.94	$962.32	$962.32
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $106.90 / $116.74 / $171.09	Professional		$106.90	$116.74	$171.09
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,925.00 / $4,715.00	Facility		$408.00	$1,925.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $156.37 / $193.63 / $298.20	Professional		$156.37	$193.63	$298.20