Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.69 / $1,639.00 / $4,473.00	Facility		$154.69	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.88 / $139.08 / $248.71	Professional		$102.88	$139.08	$248.71
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 $99.57 / $144.13 / $238.70	Professional		$99.57	$144.13	$238.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $126.63 / $135.41	Facility		$97.00	$126.63	$135.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.42 / $160.91 / $262.37	Professional		$104.42	$160.91	$262.37
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $140.59 / $223.61	Professional		$64.00	$140.59	$223.61
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $104.45 / $1,637.08 / $1,637.08	Facility		$104.45	$1,637.08	$1,637.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $100.59 / $140.55 / $156.68	Professional		$100.59	$140.55	$156.68
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 $121.75 / $164.58 / $257.42	Professional		$121.75	$164.58	$257.42