Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.08 / $2,173.00 / $4,730.00	Facility		$290.08	$2,173.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.06 / $119.56 / $477.88	Professional		$85.06	$119.56	$477.88
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 $99.38 / $133.71 / $194.16	Professional		$99.38	$133.71	$194.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.09 / $70.09 / $70.09	Facility		$70.09	$70.09	$70.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.42 / $118.00 / $188.78	Professional		$77.42	$118.00	$188.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $67.93 / $121.60 / $207.00	Professional		$67.93	$121.60	$207.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $71.51 / $222.33 / $222.33	Facility		$71.51	$222.33	$222.33
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $81.08 / $87.42 / $121.71	Professional		$81.08	$87.42	$121.71
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 $111.59 / $138.00 / $217.35	Professional		$111.59	$138.00	$217.35