Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.29 / $1,713.00 / $4,473.00	Facility		$168.29	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.75 / $146.49 / $733.00	Professional		$100.75	$146.49	$733.00
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 $121.67 / $173.03 / $243.93	Professional		$121.67	$173.03	$243.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.11 / $86.11 / $86.11	Facility		$86.11	$86.11	$86.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.20 / $149.06 / $242.97	Professional		$103.20	$149.06	$242.97
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $83.91 / $151.12 / $251.33	Professional		$83.91	$151.12	$251.33
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $88.33 / $336.18 / $336.18	Facility		$88.33	$336.18	$336.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $94.54 / $104.06 / $155.49	Professional		$94.54	$104.06	$155.49
United Facility/Professional Facility Modifier Low / Median / High Price $99.18 / $1,277.00 / $1,998.00	Facility		$99.18	$1,277.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $143.24 / $177.37 / $270.83	Professional		$143.24	$177.37	$270.83