Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.49 / $1,706.00 / $4,473.00	Facility		$164.49	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.30 / $161.02 / $523.45	Professional		$97.30	$161.02	$523.45
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 $102.80 / $141.12 / $172.87	Professional		$102.80	$141.12	$172.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $391.14 / $391.14 / $391.14	Facility		$391.14	$391.14	$391.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.27 / $171.62 / $259.70	Professional		$102.27	$171.62	$259.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $149.99 / $404.59	Professional		$1.20	$149.99	$404.59
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $765.36 / $765.36 / $765.36	Facility		$765.36	$765.36	$765.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.90 / $130.05 / $606.89	Professional		$0.90	$130.05	$606.89
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 $143.26 / $216.03 / $374.16	Professional		$143.26	$216.03	$374.16