Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.13 / $1,639.00 / $4,473.00	Facility		$245.13	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.09 / $216.44 / $386.48	Professional		$138.09	$216.44	$386.48
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 $136.93 / $214.46 / $364.31	Professional		$136.93	$214.46	$364.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.91 / $206.16 / $220.46	Facility		$157.91	$206.16	$220.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.52 / $228.08 / $391.74	Professional		$140.52	$228.08	$391.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $201.86 / $347.12	Professional		$96.00	$201.86	$347.12
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $173.15 / $3,584.18 / $3,584.18	Facility		$173.15	$3,584.18	$3,584.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $127.76 / $191.64 / $259.73	Professional		$127.76	$191.64	$259.73
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 $207.21 / $265.61 / $433.49	Professional		$207.21	$265.61	$433.49