Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,706.00 / $4,396.00	Facility		$230.00	$1,706.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.44 / $190.17 / $307.64	Professional		$115.44	$190.17	$307.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,214.00 / $3,931.00 / $5,258.00	Facility		$3,214.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.67 / $187.34 / $339.38	Professional		$113.67	$187.34	$339.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.49 / $221.27 / $236.62	Facility		$169.49	$221.27	$236.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.57 / $201.05 / $353.00	Professional		$117.57	$201.05	$353.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $188.78 / $309.14	Professional		$64.00	$188.78	$309.14
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $171.75 / $3,584.18 / $3,584.18	Facility		$171.75	$3,584.18	$3,584.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $109.95 / $164.93 / $257.63	Professional		$109.95	$164.93	$257.63
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 $179.51 / $239.46 / $402.34	Professional		$179.51	$239.46	$402.34