Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.02 / $1,706.00 / $4,473.00	Facility		$274.02	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.19 / $237.28 / $367.16	Professional		$180.19	$237.28	$367.16
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 $180.43 / $251.30 / $406.13	Professional		$180.43	$251.30	$406.13
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 $199.47 / $279.45 / $424.00	Professional		$199.47	$279.45	$424.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $197.75 / $313.73 / $852.32	Professional		$197.75	$313.73	$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 $197.75 / $274.79 / $429.03	Professional		$197.75	$274.79	$429.03
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,709.00 / $4,661.00	Facility		$408.00	$1,709.00	$4,661.00
United Facility/Professional Professional Modifier Low / Median / High Price $245.59 / $294.70 / $536.14	Professional		$245.59	$294.70	$536.14