Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $514.00 / $2,235.00 / $5,510.25	Facility		$514.00	$2,235.00	$5,510.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $127.93 / $236.10	Professional		$74.45	$127.93	$236.10
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 $71.16 / $124.64 / $209.23	Professional		$71.16	$124.64	$209.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,032.25 / $1,032.25 / $1,032.25	Facility		$1,032.25	$1,032.25	$1,032.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $130.59 / $211.69	Professional		$73.14	$130.59	$211.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $149.07 / $465.11	Professional		$74.00	$149.07	$465.11
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,021.63 / $2,021.63 / $2,021.63	Facility		$2,021.63	$2,021.63	$2,021.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $111.00 / $235.38	Professional		$74.00	$111.00	$235.38
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,317.00	Facility		$721.00	$2,200.00	$6,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $143.41 / $163.01 / $270.26	Professional		$143.41	$163.01	$270.26