Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.24 / $1,706.00 / $4,473.00	Facility		$227.24	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.21 / $207.12 / $660.55	Professional		$124.21	$207.12	$660.55
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 $132.55 / $208.42 / $327.60	Professional		$132.55	$208.42	$327.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.44 / $167.44 / $167.44	Facility		$167.44	$167.44	$167.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.33 / $184.48 / $326.77	Professional		$109.33	$184.48	$326.77
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $199.43 / $340.13	Professional		$72.00	$199.43	$340.13
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $173.85 / $3,584.18 / $3,584.18	Facility		$173.85	$3,584.18	$3,584.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $113.96 / $119.20 / $260.77	Professional		$113.96	$119.20	$260.77
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 $146.80 / $228.24 / $354.78	Professional		$146.80	$228.24	$354.78