Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.75 / $1,639.00 / $4,396.00	Facility		$360.75	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.41 / $147.10 / $648.00	Professional		$70.41	$147.10	$648.00
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 $82.41 / $144.88 / $236.88	Professional		$82.41	$144.88	$236.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.18 / $106.18 / $106.18	Facility		$106.18	$106.18	$106.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.16 / $118.68 / $232.70	Professional		$64.16	$118.68	$232.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $60.59 / $117.81 / $237.90	Professional		$60.59	$117.81	$237.90
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $110.76 / $962.32 / $962.32	Facility		$110.76	$962.32	$962.32
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $72.42 / $166.14	Professional		$67.31	$72.42	$166.14
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 $130.32 / $163.90 / $258.93	Professional		$130.32	$163.90	$258.93