Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.71 / $1,706.00 / $4,473.00	Facility		$151.71	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.23 / $120.95 / $245.18	Professional		$66.23	$120.95	$245.18
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 $67.48 / $135.63 / $234.36	Professional		$67.48	$135.63	$234.36
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 $57.71 / $124.55 / $239.11	Professional		$57.71	$124.55	$239.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $54.12 / $155.36 / $774.84	Professional		$54.12	$155.36	$774.84
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $774.84 / $1,790.66 / $1,790.66	Facility		$774.84	$1,790.66	$1,790.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $60.13 / $64.84 / $242.66	Professional		$60.13	$64.84	$242.66
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 $132.16 / $174.72 / $255.36	Professional		$132.16	$174.72	$255.36