Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $1,713.00 / $4,396.00	Facility		$515.00	$1,713.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.12 / $342.18 / $975.93	Professional		$170.12	$342.18	$975.93
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 $194.63 / $218.58 / $354.16	Professional		$194.63	$218.58	$354.16
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 $186.57 / $344.55 / $772.49	Professional		$186.57	$344.55	$772.49
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $339.85 / $860.73	Professional		$3.44	$339.85	$860.73
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 $2.34 / $270.11 / $1,162.26	Professional		$2.34	$270.11	$1,162.26
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,244.00	Facility		$721.00	$2,200.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $366.18 / $483.83 / $785.62	Professional		$366.18	$483.83	$785.62