Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.55 / $2,173.00 / $4,841.00	Facility		$228.55	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.03 / $171.19 / $352.74	Professional		$133.03	$171.19	$352.74
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 $163.22 / $218.22 / $311.22	Professional		$163.22	$218.22	$311.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.72 / $148.72 / $148.72	Facility		$148.72	$148.72	$148.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.37 / $228.55 / $365.68	Professional		$146.37	$228.55	$365.68
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $200.21 / $328.97	Professional		$1.94	$200.21	$328.97
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 $1.32 / $210.73 / $342.68	Professional		$1.32	$210.73	$342.68
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,917.00 / $4,661.00	Facility		$408.00	$1,917.00	$4,661.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.87 / $233.33 / $379.90	Professional		$174.87	$233.33	$379.90