Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.35 / $1,706.00 / $4,473.00	Facility		$181.35	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.04 / $164.31 / $701.73	Professional		$121.04	$164.31	$701.73
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 $133.60 / $149.76 / $220.24	Professional		$133.60	$149.76	$220.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $882.01 / $882.01 / $882.01	Facility		$882.01	$882.01	$882.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.18 / $200.60 / $289.00	Professional		$129.18	$200.60	$289.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.18 / $187.32 / $865.88	Professional		$3.18	$187.32	$865.88
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 $2.16 / $168.11 / $1,367.18	Professional		$2.16	$168.11	$1,367.18
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 $153.26 / $201.77 / $312.36	Professional		$153.26	$201.77	$312.36