Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.18 / $1,706.00 / $4,473.00	Facility		$265.18	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.29 / $240.33 / $848.19	Professional		$151.29	$240.33	$848.19
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 $172.87 / $201.42 / $279.07	Professional		$172.87	$201.42	$279.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.53 / $171.53 / $171.53	Facility		$171.53	$171.53	$171.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.59 / $263.82 / $411.03	Professional		$167.59	$263.82	$411.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $227.40 / $373.72	Professional		$3.44	$227.40	$373.72
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 / $223.80 / $389.30	Professional		$2.34	$223.80	$389.30
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 $216.60 / $288.80 / $433.21	Professional		$216.60	$288.80	$433.21