Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.57 / $2,173.00 / $4,841.00	Facility		$181.57	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.17 / $165.23 / $434.20	Professional		$92.17	$165.23	$434.20
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 $109.16 / $176.40 / $214.07	Professional		$109.16	$176.40	$214.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.72 / $99.72 / $99.72	Facility		$99.72	$99.72	$99.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.54 / $226.31 / $367.75	Professional		$121.54	$226.31	$367.75
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.14 / $148.52 / $287.92	Professional		$1.14	$148.52	$287.92
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 $0.78 / $128.78 / $249.65	Professional		$0.78	$128.78	$249.65
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 $218.05 / $290.16 / $507.78	Professional		$218.05	$290.16	$507.78