Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.60 / $2,173.00 / $4,841.00	Facility		$240.60	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.80 / $217.05 / $1,096.00	Professional		$192.80	$217.05	$1,096.00
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 $202.42 / $230.45 / $347.76	Professional		$202.42	$230.45	$347.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.41 / $133.41 / $133.41	Facility		$133.41	$133.41	$133.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.78 / $288.83 / $429.00	Professional		$192.78	$288.83	$429.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.06 / $234.49 / $359.98	Professional		$1.06	$234.49	$359.98
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,768.74 / $1,768.74 / $1,768.74	Facility		$1,768.74	$1,768.74	$1,768.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $205.43 / $351.74	Professional		$0.72	$205.43	$351.74
United Facility/Professional Facility Modifier Low / Median / High Price $133.66 / $2,331.00 / $4,296.00	Facility		$133.66	$2,331.00	$4,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $205.84 / $272.83 / $443.37	Professional		$205.84	$272.83	$443.37