Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $619.69 / $2,173.00 / $4,730.00	Facility		$619.69	$2,173.00	$4,730.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $455.04 / $819.85	Professional		$87.28	$455.04	$819.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,214.00 / $3,931.00 / $5,258.00	Facility		$3,214.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.66 / $446.76 / $864.86	Professional		$94.66	$446.76	$864.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $925.49 / $925.49 / $925.49	Facility		$925.49	$925.49	$925.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.99 / $175.15 / $994.46	Professional		$91.99	$175.15	$994.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $61.82 / $465.62 / $1,115.68	Professional		$61.82	$465.62	$1,115.68
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $892.54 / $1,811.70 / $1,811.70	Facility		$892.54	$1,811.70	$1,811.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $115.92 / $1,338.81	Professional		$0.78	$115.92	$1,338.81
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 $502.82 / $690.57 / $1,265.22	Professional		$502.82	$690.57	$1,265.22