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 $128.53 / $147.80 / $750.00	Professional		$128.53	$147.80	$750.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.82 / $175.83 / $252.12	Professional		$144.82	$175.83	$252.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $491.53 / $491.53 / $491.53	Facility		$491.53	$491.53	$491.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.03 / $170.02 / $281.00	Professional		$124.03	$170.02	$281.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $101.10 / $579.49	Professional		$6.30	$101.10	$579.49
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $526.80 / $962.32 / $962.32	Facility		$526.80	$962.32	$962.32
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.40 / $5.40 / $5.40	Professional		$5.40	$5.40	$5.40
United Facility/Professional Facility Modifier Low / Median / High Price $360.00 / $1,917.00 / $4,661.00	Facility		$360.00	$1,917.00	$4,661.00
United Facility/Professional Professional Modifier Low / Median / High Price $112.88 / $164.58 / $257.42	Professional		$112.88	$164.58	$257.42