Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.13 / $3,959.00 / $10,300.00	Facility		$116.13	$3,959.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.13 / $196.07 / $371.73	Professional		$116.13	$196.07	$371.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.08 / $191.26 / $288.22	Professional		$125.08	$191.26	$288.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.94 / $185.68 / $296.11	Professional		$113.94	$185.68	$296.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $197.78 / $347.68	Professional		$1.17	$197.78	$347.68
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,036.17 / $1,036.17 / $1,036.17	Facility		$1,036.17	$1,036.17	$1,036.17
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $114.57 / $115.27 / $190.63	Professional		$114.57	$115.27	$190.63
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,317.00	Facility		$721.00	$2,200.00	$6,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $168.81 / $227.85 / $354.68	Professional		$168.81	$227.85	$354.68