Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.14 / $1,639.00 / $4,396.00	Facility		$303.14	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $188.90 / $393.72	Professional		$69.09	$188.90	$393.72
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 $65.84 / $172.36 / $437.47	Professional		$65.84	$172.36	$437.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.39 / $299.47 / $320.24	Facility		$229.39	$299.47	$320.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.19 / $182.22 / $407.66	Professional		$64.19	$182.22	$407.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $61.34 / $201.64 / $440.78	Professional		$61.34	$201.64	$440.78
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $274.10 / $1,303.09 / $1,303.09	Facility		$274.10	$1,303.09	$1,303.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $70.05 / $105.08 / $411.15	Professional		$70.05	$105.08	$411.15
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 $174.85 / $271.23 / $453.21	Professional		$174.85	$271.23	$453.21