Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.63 / $1,639.00 / $4,473.00	Facility		$166.63	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.59 / $141.09 / $208.25	Professional		$97.59	$141.09	$208.25
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 $94.21 / $183.46 / $300.88	Professional		$94.21	$183.46	$300.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.85 / $153.85 / $205.00	Professional		$153.85	$153.85	$205.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.92 / $151.24 / $291.06	Professional		$1.92	$151.24	$291.06
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $441.01 / $441.01 / $441.01	Facility		$441.01	$441.01	$441.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $84.02 / $92.55 / $166.63	Professional		$84.02	$92.55	$166.63
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 $233.15 / $298.80 / $470.61	Professional		$233.15	$298.80	$470.61