Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.00 / $1,713.00 / $4,473.00	Facility		$911.00	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $129.32 / $560.00	Professional		$107.15	$129.32	$560.00
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 $122.65 / $191.96 / $232.96	Professional		$122.65	$191.96	$232.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.65 / $135.65 / $135.65	Facility		$135.65	$135.65	$135.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.89 / $144.53 / $234.48	Professional		$102.89	$144.53	$234.48
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $141.53 / $213.45	Professional		$3.52	$141.53	$213.45
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $265.11 / $265.11 / $265.11	Facility		$265.11	$265.11	$265.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $128.88 / $212.30	Professional		$2.64	$128.88	$212.30
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $1,998.00	Facility		$200.00	$1,427.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $113.90 / $154.56 / $231.85	Professional		$113.90	$154.56	$231.85