Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.72 / $2,100.00 / $4,622.43	Facility		$602.72	$2,100.00	$4,622.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.74 / $144.97 / $199.60	Professional		$105.74	$144.97	$199.60
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 $94.77 / $131.52 / $229.97	Professional		$94.77	$131.52	$229.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.31 / $112.31 / $112.31	Facility		$112.31	$112.31	$112.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.84 / $149.85 / $226.12	Professional		$97.84	$149.85	$226.12
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $109.47 / $151.74 / $261.68	Professional		$109.47	$151.74	$261.68
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 $114.45 / $163.58 / $182.45	Professional		$114.45	$163.58	$182.45
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 $128.52 / $169.75 / $305.54	Professional		$128.52	$169.75	$305.54