Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.31 / $1,639.00 / $4,396.00	Facility		$230.31	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.82 / $205.97 / $772.00	Professional		$106.82	$205.97	$772.00
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 $99.54 / $181.09 / $332.13	Professional		$99.54	$181.09	$332.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.66 / $902.97 / $965.60	Facility		$691.66	$902.97	$965.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.56 / $192.05 / $350.00	Professional		$104.56	$192.05	$350.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $90.23 / $190.00 / $688.31	Professional		$90.23	$190.00	$688.31
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $688.31 / $1,637.08 / $1,637.08	Facility		$688.31	$1,637.08	$1,637.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $101.71 / $152.57 / $315.56	Professional		$101.71	$152.57	$315.56
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $1,891.00 / $6,244.00	Facility		$721.00	$1,891.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.30 / $234.80 / $394.01	Professional		$177.30	$234.80	$394.01