Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.99 / $2,173.00 / $4,841.00	Facility		$255.99	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.65 / $244.13 / $430.81	Professional		$164.65	$244.13	$430.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,931.00 / $5,258.00	Facility		$3,072.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.56 / $218.13 / $357.89	Professional		$147.56	$218.13	$357.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $745.22 / $745.22 / $745.22	Facility		$745.22	$745.22	$745.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.34 / $240.54 / $396.64	Professional		$154.34	$240.54	$396.64
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $169.63 / $296.85 / $852.32	Professional		$169.63	$296.85	$852.32
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,790.66 / $1,790.66 / $1,790.66	Facility		$1,790.66	$1,790.66	$1,790.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $169.63 / $254.45 / $409.92	Professional		$169.63	$254.45	$409.92
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,244.00	Facility		$721.00	$2,200.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $224.28 / $280.06 / $488.89	Professional		$224.28	$280.06	$488.89