Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.74 / $1,706.00 / $4,473.00	Facility		$157.74	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.20 / $143.25 / $650.00	Professional		$95.20	$143.25	$650.00
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 $112.95 / $164.03 / $228.81	Professional		$112.95	$164.03	$228.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.03 / $82.03 / $82.03	Facility		$82.03	$82.03	$82.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.19 / $139.04 / $228.11	Professional		$96.19	$139.04	$228.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $78.62 / $139.78 / $235.23	Professional		$78.62	$139.78	$235.23
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $83.42 / $336.18 / $336.18	Facility		$83.42	$336.18	$336.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $87.36 / $95.90 / $145.71	Professional		$87.36	$95.90	$145.71
United Facility/Professional Facility Modifier Low / Median / High Price $94.52 / $1,277.00 / $1,998.00	Facility		$94.52	$1,277.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $137.51 / $170.72 / $255.75	Professional		$137.51	$170.72	$255.75