Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.75 / $1,516.50 / $4,396.00	Facility		$519.75	$1,516.50	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.54 / $220.58 / $720.72	Professional		$90.54	$220.58	$720.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.92 / $234.88 / $361.36	Professional		$109.92	$234.88	$361.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.85 / $195.37 / $363.46	Professional		$82.85	$195.37	$363.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $147.82 / $374.26	Professional		$2.33	$147.82	$374.26
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 $82.12 / $92.95 / $231.07	Professional		$82.12	$92.95	$231.07
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 $243.95 / $300.27 / $439.10	Professional		$243.95	$300.27	$439.10