Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.06 / $4,396.00 / $10,300.00	Facility		$219.06	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.17 / $219.06 / $341.42	Professional		$206.17	$219.06	$341.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,779.00 / $3,647.00 / $4,098.00	Facility		$2,779.00	$3,647.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.97 / $282.70 / $406.87	Professional		$229.97	$282.70	$406.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.58 / $171.58 / $171.58	Facility		$171.58	$171.58	$171.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.15 / $269.06 / $407.68	Professional		$177.15	$269.06	$407.68
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $233.92 / $361.38	Professional		$5.29	$233.92	$361.38
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $174.30 / $336.18 / $336.18	Facility		$174.30	$336.18	$336.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $225.72 / $309.75	Professional		$3.60	$225.72	$309.75
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 $239.13 / $284.69 / $459.93	Professional		$239.13	$284.69	$459.93