Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.64 / $1,706.00 / $4,473.00	Facility		$198.64	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $144.83 / $269.67	Professional		$51.68	$144.83	$269.67
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 $56.09 / $115.24 / $236.88	Professional		$56.09	$115.24	$236.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.35 / $114.35 / $114.35	Facility		$114.35	$114.35	$114.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.90 / $107.28 / $214.36	Professional		$43.90	$107.28	$214.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $40.33 / $124.43 / $245.50	Professional		$40.33	$124.43	$245.50
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $124.43 / $1,124.40 / $1,124.40	Facility		$124.43	$1,124.40	$1,124.40
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $43.71 / $48.51 / $186.65	Professional		$43.71	$48.51	$186.65
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,317.00	Facility		$721.00	$2,200.00	$6,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $135.69 / $162.40 / $258.56	Professional		$135.69	$162.40	$258.56