Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.09 / $1,713.00 / $4,473.00	Facility		$211.09	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.23 / $194.54 / $345.82	Professional		$124.23	$194.54	$345.82
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 $121.77 / $194.59 / $303.39	Professional		$121.77	$194.59	$303.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $745.22 / $745.22 / $745.22	Facility		$745.22	$745.22	$745.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.88 / $185.41 / $308.20	Professional		$105.88	$185.41	$308.20
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $192.00 / $774.84	Professional		$63.00	$192.00	$774.84
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $774.84 / $1,790.66 / $1,790.66	Facility		$774.84	$1,790.66	$1,790.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $102.80 / $117.65 / $303.14	Professional		$102.80	$117.65	$303.14
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,244.00	Facility		$721.00	$2,200.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $192.98 / $232.47 / $345.87	Professional		$192.98	$232.47	$345.87