Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $666.30 / $1,639.00 / $4,952.35	Facility		$666.30	$1,639.00	$4,952.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.87 / $130.61 / $559.00	Professional		$68.87	$130.61	$559.00
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 $81.90 / $135.62 / $268.63	Professional		$81.90	$135.62	$268.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $745.22 / $745.22 / $745.22	Facility		$745.22	$745.22	$745.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $118.53 / $241.64	Professional		$67.00	$118.53	$241.64
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $63.55 / $141.63 / $774.84	Professional		$63.55	$141.63	$774.84
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $774.84 / $1,790.66 / $1,790.66	Facility		$774.84	$1,790.66	$1,790.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $73.89 / $81.68 / $254.27	Professional		$73.89	$81.68	$254.27
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 $120.15 / $150.16 / $242.46	Professional		$120.15	$150.16	$242.46