Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.65 / $2,173.00 / $4,730.00	Facility		$524.65	$2,173.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.23 / $171.71 / $736.00	Professional		$126.23	$171.71	$736.00
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 $148.06 / $189.12 / $268.30	Professional		$148.06	$189.12	$268.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.97 / $79.97 / $79.97	Facility		$79.97	$79.97	$79.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.09 / $167.10 / $259.64	Professional		$115.09	$167.10	$259.64
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $76.92 / $164.18 / $259.39	Professional		$76.92	$164.18	$259.39
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $80.97 / $336.18 / $336.18	Facility		$80.97	$336.18	$336.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $116.71 / $128.06 / $175.07	Professional		$116.71	$128.06	$175.07
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 $153.19 / $189.68 / $287.30	Professional		$153.19	$189.68	$287.30