Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.32 / $1,639.00 / $4,473.00	Facility		$204.32	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.15 / $195.25 / $333.29	Professional		$134.15	$195.25	$333.29
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 $131.85 / $193.43 / $296.10	Professional		$131.85	$193.43	$296.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,032.25 / $1,032.25 / $1,032.25	Facility		$1,032.25	$1,032.25	$1,032.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.41 / $193.80 / $306.48	Professional		$109.41	$193.80	$306.48
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $109.16 / $199.86 / $1,178.45	Professional		$109.16	$199.86	$1,178.45
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,178.45 / $2,021.63 / $2,021.63	Facility		$1,178.45	$2,021.63	$2,021.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $121.29 / $128.50 / $299.79	Professional		$121.29	$128.50	$299.79
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $1,891.00 / $6,244.00	Facility		$721.00	$1,891.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $187.95 / $234.48 / $365.16	Professional		$187.95	$234.48	$365.16