Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.00 / $1,713.00 / $4,473.00	Facility		$911.00	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.15 / $68.56 / $576.41	Professional		$64.15	$68.56	$576.41
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 $71.26 / $91.62 / $133.56	Professional		$71.26	$91.62	$133.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $332.41 / $332.41 / $332.41	Facility		$332.41	$332.41	$332.41
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $47.77 / $356.80 / $1,008.64	Professional		$47.77	$356.80	$1,008.64
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $25.83 / $324.36 / $737.67	Facility		$25.83	$324.36	$737.67
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $53.12 / $79.68 / $896.15	Professional		$53.12	$79.68	$896.15
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 $45.64 / $56.90 / $86.08	Professional		$45.64	$56.90	$86.08