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 $129.65 / $129.65 / $660.30	Professional		$129.65	$129.65	$660.30
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 $121.18 / $146.59 / $210.97	Professional		$121.18	$146.59	$210.97
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 $109.38 / $157.26 / $233.37	Professional		$109.38	$157.26	$233.37
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $142.60 / $968.55	Professional		$0.26	$142.60	$968.55
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 $0.18 / $119.89 / $1,162.26	Professional		$0.18	$119.89	$1,162.26
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,917.00 / $4,715.00	Facility		$408.00	$1,917.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $127.05 / $158.22 / $228.70	Professional		$127.05	$158.22	$228.70