Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.68 / $2,173.00 / $4,841.00	Facility		$295.68	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.45 / $236.52 / $337.04	Professional		$123.45	$236.52	$337.04
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 $131.52 / $252.33 / $405.21	Professional		$131.52	$252.33	$405.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $833.45 / $833.45 / $833.45	Facility		$833.45	$833.45	$833.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.13 / $193.07 / $401.44	Professional		$111.13	$193.07	$401.44
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $97.34 / $240.56 / $881.06	Professional		$97.34	$240.56	$881.06
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $881.06 / $1,905.85 / $1,905.85	Facility		$881.06	$1,905.85	$1,905.85
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $102.46 / $115.36 / $400.94	Professional		$102.46	$115.36	$400.94
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 $214.69 / $297.57 / $465.41	Professional		$214.69	$297.57	$465.41