Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.94 / $1,706.00 / $4,473.00	Facility		$318.94	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.61 / $264.30 / $876.73	Professional		$154.61	$264.30	$876.73
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 $164.80 / $188.41 / $286.89	Professional		$164.80	$188.41	$286.89
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 $150.00 / $270.27 / $478.42	Professional		$150.00	$270.27	$478.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.67 / $283.55 / $774.84	Professional		$7.67	$283.55	$774.84
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 $5.22 / $246.30 / $1,162.26	Professional		$5.22	$246.30	$1,162.26
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 $210.00 / $293.17 / $487.08	Professional		$210.00	$293.17	$487.08