Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.68 / $1,706.00 / $4,473.00	Facility		$130.68	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.97 / $115.42 / $528.34	Professional		$92.97	$115.42	$528.34
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 $79.12 / $96.02 / $190.68	Professional		$79.12	$96.02	$190.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.80 / $87.80 / $87.80	Facility		$87.80	$87.80	$87.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.11 / $134.66 / $213.35	Professional		$91.11	$134.66	$213.35
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $127.33 / $200.55	Professional		$2.00	$127.33	$200.55
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $326.24 / $326.24 / $326.24	Facility		$326.24	$326.24	$326.24
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $127.42 / $204.80	Professional		$1.50	$127.42	$204.80
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 $106.45 / $145.35 / $218.61	Professional		$106.45	$145.35	$218.61