Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $2,173.00 / $4,730.00	Facility		$950.00	$2,173.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.96 / $291.39 / $467.25	Professional		$130.96	$291.39	$467.25
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 $146.68 / $272.89 / $460.92	Professional		$146.68	$272.89	$460.92
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 $125.35 / $246.70 / $442.39	Professional		$125.35	$246.70	$442.39
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $112.03 / $301.82 / $881.06	Professional		$112.03	$301.82	$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 $117.93 / $124.34 / $452.73	Professional		$117.93	$124.34	$452.73
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 $275.76 / $386.55 / $507.66	Professional		$275.76	$386.55	$507.66