Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.02 / $4,396.00 / $10,300.00	Facility		$196.02	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.03 / $191.89 / $966.87	Professional		$165.03	$191.89	$966.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,158.86 / $3,921.00 / $5,886.97	Facility		$3,158.86	$3,921.00	$5,886.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.26 / $254.92 / $334.01	Professional		$215.26	$254.92	$334.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.73 / $249.19 / $428.00	Professional		$178.73	$249.19	$428.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $198.36 / $297.54	Professional		$7.20	$198.36	$297.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.40 / $165.30 / $247.95	Professional		$5.40	$165.30	$247.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,061.00 / $2,606.00 / $6,471.00	Facility		$1,061.00	$2,606.00	$6,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.64 / $226.43 / $348.41	Professional		$169.64	$226.43	$348.41