Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.95 / $1,639.00 / $4,396.00	Facility		$489.95	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.40 / $142.52 / $611.00	Professional		$117.40	$142.52	$611.00
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 $130.05 / $191.95 / $293.83	Professional		$130.05	$191.95	$293.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.07 / $133.07 / $133.07	Facility		$133.07	$133.07	$133.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.31 / $158.36 / $269.48	Professional		$97.31	$158.36	$269.48
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $104.00 / $165.39 / $290.36	Professional		$104.00	$165.39	$290.36
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $131.44 / $2,021.63 / $2,021.63	Facility		$131.44	$2,021.63	$2,021.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $118.57 / $129.47 / $197.16	Professional		$118.57	$129.47	$197.16
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 $130.68 / $187.60 / $310.82	Professional		$130.68	$187.60	$310.82