Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.00 / $1,713.00 / $4,473.00	Facility		$911.00	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.13 / $117.13 / $619.76	Professional		$117.13	$117.13	$619.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.53 / $136.12 / $195.90	Professional		$112.53	$136.12	$195.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $332.41 / $332.41 / $332.41	Facility		$332.41	$332.41	$332.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.01 / $129.40 / $201.29	Professional		$91.01	$129.40	$201.29
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $128.84 / $421.67	Professional		$0.35	$128.84	$421.67
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $324.36 / $737.67 / $737.67	Facility		$324.36	$737.67	$737.67
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $110.36 / $486.54	Professional		$0.24	$110.36	$486.54
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,925.00 / $4,715.00	Facility		$408.00	$1,925.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.60 / $144.47 / $204.95	Professional		$117.60	$144.47	$204.95