Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.43 / $1,706.00 / $4,473.00	Facility		$272.43	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.08 / $246.17 / $829.72	Professional		$148.08	$246.17	$829.72
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 $174.35 / $195.72 / $273.62	Professional		$174.35	$195.72	$273.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.63 / $176.63 / $176.63	Facility		$176.63	$176.63	$176.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.13 / $252.23 / $408.65	Professional		$149.13	$252.23	$408.65
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $222.27 / $377.83	Professional		$0.88	$222.27	$377.83
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 $0.60 / $211.02 / $393.57	Professional		$0.60	$211.02	$393.57
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 $217.40 / $287.25 / $461.17	Professional		$217.40	$287.25	$461.17