Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.42 / $1,639.00 / $4,473.00	Facility		$242.42	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.94 / $242.42 / $388.14	Professional		$174.94	$242.42	$388.14
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 $167.42 / $242.37 / $357.78	Professional		$167.42	$242.37	$357.78
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 $139.87 / $234.05 / $363.63	Professional		$139.87	$234.05	$363.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $247.78 / $774.84	Professional		$72.00	$247.78	$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 $161.94 / $163.47 / $369.30	Professional		$161.94	$163.47	$369.30
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 $225.05 / $277.58 / $405.10	Professional		$225.05	$277.58	$405.10