Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.83 / $1,713.00 / $4,526.55	Facility		$140.83	$1,713.00	$4,526.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.21 / $138.09 / $275.66	Professional		$57.21	$138.09	$275.66
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 $66.20 / $152.00 / $233.85	Professional		$66.20	$152.00	$233.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.40 / $116.40 / $116.40	Facility		$116.40	$116.40	$116.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.41 / $133.93 / $251.09	Professional		$56.41	$133.93	$251.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $49.46 / $132.13 / $271.51	Professional		$49.46	$132.13	$271.51
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $132.13 / $1,790.66 / $1,790.66	Facility		$132.13	$1,790.66	$1,790.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $54.96 / $64.51 / $198.21	Professional		$54.96	$64.51	$198.21
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,925.00 / $4,715.00	Facility		$408.00	$1,925.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.98 / $198.96 / $300.52	Professional		$164.98	$198.96	$300.52