Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,706.00 / $4,473.00	Facility		$175.00	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.47 / $128.41 / $569.36	Professional		$101.47	$128.41	$569.36
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 $112.36 / $167.72 / $256.02	Professional		$112.36	$167.72	$256.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.44 / $118.44 / $118.44	Facility		$118.44	$118.44	$118.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.40 / $139.47 / $234.68	Professional		$83.40	$139.47	$234.68
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $146.00 / $256.31	Professional		$80.00	$146.00	$256.31
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $119.17 / $3,513.95 / $3,513.95	Facility		$119.17	$3,513.95	$3,513.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $104.38 / $111.83 / $178.76	Professional		$104.38	$111.83	$178.76
United Facility/Professional Facility Modifier Low / Median / High Price $130.34 / $2,940.00 / $7,138.00	Facility		$130.34	$2,940.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.63 / $162.00 / $274.89	Professional		$114.63	$162.00	$274.89