Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.00 / $1,706.00 / $4,473.00	Facility		$194.00	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.84 / $157.31 / $259.12	Professional		$70.84	$157.31	$259.12
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 $70.09 / $147.44 / $278.70	Professional		$70.09	$147.44	$278.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $665.97 / $869.42 / $929.73	Facility		$665.97	$869.42	$929.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.38 / $149.00 / $293.00	Professional		$70.38	$149.00	$293.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $61.25 / $177.70 / $685.78	Professional		$61.25	$177.70	$685.78
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $685.78 / $1,303.09 / $1,303.09	Facility		$685.78	$1,303.09	$1,303.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $68.05 / $102.08 / $296.16	Professional		$68.05	$102.08	$296.16
United Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $1,891.00 / $6,244.00	Facility		$330.00	$1,891.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $146.16 / $195.17 / $328.72	Professional		$146.16	$195.17	$328.72