Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.95 / $1,639.00 / $4,473.00	Facility		$241.95	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.41 / $208.76 / $388.60	Professional		$126.41	$208.76	$388.60
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 $119.37 / $189.10 / $355.86	Professional		$119.37	$189.10	$355.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.53 / $223.94 / $239.47	Facility		$171.53	$223.94	$239.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.84 / $208.58 / $362.92	Professional		$127.84	$208.58	$362.92
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $195.10 / $325.14	Professional		$72.00	$195.10	$325.14
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $177.36 / $3,584.18 / $3,584.18	Facility		$177.36	$3,584.18	$3,584.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $117.80 / $176.70 / $266.04	Professional		$117.80	$176.70	$266.04
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $1,967.00 / $6,244.00	Facility		$721.00	$1,967.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $181.92 / $245.31 / $426.76	Professional		$181.92	$245.31	$426.76