Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.23 / $1,706.00 / $4,473.00	Facility		$263.23	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.68 / $235.57 / $847.30	Professional		$151.68	$235.57	$847.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,779.00 / $3,647.00 / $4,098.00	Facility		$2,779.00	$3,647.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.91 / $246.14 / $342.51	Professional		$181.91	$246.14	$342.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.72 / $164.72 / $164.72	Facility		$164.72	$164.72	$164.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.44 / $253.65 / $408.01	Professional		$161.44	$253.65	$408.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $216.88 / $357.52	Professional		$3.26	$216.88	$357.52
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $777.59 / $777.59 / $777.59	Facility		$777.59	$777.59	$777.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $214.44 / $372.42	Professional		$2.22	$214.44	$372.42
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,925.00 / $4,715.00	Facility		$408.00	$1,925.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.12 / $263.10 / $410.96	Professional		$199.12	$263.10	$410.96