Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.14 / $78.14 / $83.02	Facility		$78.14	$78.14	$83.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.62 / $83.02 / $396.00	Professional		$74.62	$83.02	$396.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,214.00 / $3,931.00 / $5,258.00	Facility		$3,214.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.84 / $107.25 / $154.16	Professional		$93.84	$107.25	$154.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,761.57 / $1,761.57 / $1,761.57	Facility		$1,761.57	$1,761.57	$1,761.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.15 / $108.12 / $159.50	Professional		$79.15	$108.12	$159.50
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $125.44 / $2,268.61	Professional		$2.21	$125.44	$2,268.61
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,814.89 / $3,513.95 / $3,513.95	Facility		$1,814.89	$3,513.95	$3,513.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $85.78 / $2,722.34	Professional		$1.50	$85.78	$2,722.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,940.00 / $7,138.00	Facility		$1,282.00	$2,940.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $106.40 / $162.26	Professional		$51.00	$106.40	$162.26