Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.86 / $1,706.00 / $4,473.00	Facility		$156.86	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.14 / $135.06 / $351.69	Professional		$70.14	$135.06	$351.69
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 $69.84 / $79.83 / $132.24	Professional		$69.84	$79.83	$132.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.16 / $105.16 / $105.16	Facility		$105.16	$105.16	$105.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.67 / $121.76 / $216.61	Professional		$62.67	$121.76	$216.61
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $54.38 / $117.62 / $222.26	Professional		$54.38	$117.62	$222.26
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $111.46 / $1,637.08 / $1,637.08	Facility		$111.46	$1,637.08	$1,637.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $60.42 / $66.62 / $167.19	Professional		$60.42	$66.62	$167.19
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 $116.87 / $161.19 / $245.82	Professional		$116.87	$161.19	$245.82