Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.08 / $1,706.00 / $4,473.00	Facility		$275.08	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.72 / $275.08 / $488.34	Professional		$174.72	$275.08	$488.34
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 $179.54 / $271.77 / $398.16	Professional		$179.54	$271.77	$398.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.97 / $208.97 / $208.97	Facility		$208.97	$208.97	$208.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.83 / $241.73 / $398.86	Professional		$148.83	$241.73	$398.86
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $251.54 / $397.43	Professional		$63.00	$251.54	$397.43
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $213.47 / $3,584.18 / $3,584.18	Facility		$213.47	$3,584.18	$3,584.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $152.58 / $160.01 / $320.20	Professional		$152.58	$160.01	$320.20
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 $206.23 / $305.24 / $959.00	Professional		$206.23	$305.24	$959.00