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 $154.22 / $163.85 / $905.96	Professional		$154.22	$163.85	$905.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,779.00 / $3,647.00 / $4,098.00	Facility		$2,779.00	$3,647.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.78 / $211.43 / $304.29	Professional		$174.78	$211.43	$304.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.58 / $171.58 / $171.58	Facility		$171.58	$171.58	$171.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.63 / $202.87 / $311.93	Professional		$156.63	$202.87	$311.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $200.85 / $278.10	Professional		$2.65	$200.85	$278.10
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $174.30 / $336.18 / $336.18	Facility		$174.30	$336.18	$336.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $168.19 / $261.45	Professional		$1.80	$168.19	$261.45
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,277.00 / $1,975.00	Facility		$200.00	$1,277.00	$1,975.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.45 / $220.08 / $323.95	Professional		$177.45	$220.08	$323.95