Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.55 / $3,959.00 / $10,300.00	Facility		$149.55	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.69 / $201.50 / $383.06	Professional		$131.69	$201.50	$383.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,214.00 / $3,931.00 / $5,258.00	Facility		$3,214.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.25 / $164.19 / $243.43	Professional		$140.25	$164.19	$243.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.88 / $155.88 / $155.88	Facility		$155.88	$155.88	$155.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.02 / $228.67 / $360.00	Professional		$136.02	$228.67	$360.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.68 / $203.54 / $347.50	Professional		$1.68	$203.54	$347.50
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 $1.13 / $212.03 / $361.98	Professional		$1.13	$212.03	$361.98
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 $180.85 / $238.96 / $390.62	Professional		$180.85	$238.96	$390.62