Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.72 / $1,706.00 / $4,473.00	Facility		$156.72	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $122.61 / $316.51	Professional		$90.40	$122.61	$316.51
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 $96.42 / $115.90 / $144.88	Professional		$96.42	$115.90	$144.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.64 / $79.64 / $79.64	Facility		$79.64	$79.64	$79.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $137.46 / $234.99	Professional		$87.07	$137.46	$234.99
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $76.66 / $130.07 / $212.95	Professional		$76.66	$130.07	$212.95
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $330.37 / $330.37 / $330.37	Facility		$330.37	$330.37	$330.37
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $86.27 / $124.58 / $129.41	Professional		$86.27	$124.58	$129.41
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 $107.33 / $132.26 / $229.33	Professional		$107.33	$132.26	$229.33